NPIMap

Organization Active NPI

Dental One, Inc.

Doing business as Desert Sunrise Family Dental

  • General Practice Dentistry
  • Peoria, AZ
National Provider Identifier
1669559738
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL ONE, INC.
Doing business as
Desert Sunrise Family Dental
Practice address
8249 W Thunderbird Rd
Suite 110
Peoria, AZ 85381-4601
Phone
(623) 979-8800
Fax
(216) 584-1303
NPI assigned
Nov 1, 2006
Last updated
Jun 16, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
DENTAL ONE PARTNERS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lauren Hill
Title
Director, RCM
Phone
(972) 930-7707

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X
Endodontics 1223E0200X
General Practice Dentistry 1223G0001X Primary
Pediatric Dentistry 1223P0221X
Periodontics 1223P0300X
Prosthodontics 1223P0700X
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X

Addresses

Primary practice location

8249 W Thunderbird Rd
Suite 110
Peoria, AZ 85381-4601

Mailing address

PO Box 860036
Minneapolis, MN 55486-0036
Phone (623) 979-8800

Other names 1

  • Desert Sunrise Family Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental One Inc10 organizations share this tax ID, including this one
Part of
Dental One Inc

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8249 W Thunderbird Rd
Ste 110
Peoria, AZ 85381
Phone (623) 979-8800

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1669559738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860036",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554860036",
            "telephone_number": "623-979-8800",
            "fax_number": "216-584-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8249 W THUNDERBIRD RD",
            "address_2": "SUITE 110",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814601",
            "telephone_number": "623-979-8800",
            "fax_number": "216-584-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ONE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL ONE PARTNERS, INC",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "DIRECTOR, RCM",
        "authorized_official_telephone_number": "972-930-7707"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Sunrise Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Desert Sunrise Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.