NPIMap

Organization Active NPI

Sun West Dental III, LLC

  • Dentist
  • Tempe, AZ
National Provider Identifier
1679615587
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D4013 Issued in AZ
Legal business name
SUN WEST DENTAL III, LLC
Practice address
1842 E. Baseline Rd.
#B2
Tempe, AZ 85283
Phone
(480) 831-8022
Fax
(480) 831-8023
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Authorized official

Name
Tracey Dalton
Title
Credentialing Specialist
Phone
(602) 354-5800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X D4013 AZ Primary

Addresses

Primary practice location

1842 E. Baseline Rd.
#B2
Tempe, AZ 85283

Mailing address

4425 N. 24TH St Suite 100
Phoenix, AZ 85016
Phone (602) 354-5800

Other names 1

  • Sun West Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sunwest Dental Center9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

1842 E Baseline Rd
Ste B2
Tempe, AZ 85283
Phone (480) 831-8022

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567468800000",
    "number": "1679615587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 N. 24TH ST SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85016",
            "telephone_number": "602-354-5800",
            "fax_number": "602-354-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 E. BASELINE RD.",
            "address_2": "#B2",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85283",
            "telephone_number": "480-831-8022",
            "fax_number": "480-831-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN WEST DENTAL III, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2019-09-03",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "602-354-5800"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D4013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun West Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sun West Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.