Sun West Dental IV, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SUN WEST DENTAL IV, LLC

Practice address

14557 W Grand Ave Ste B106
Surprise, AZ 85374-7104

Phone

(623) 374-3102

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Tracey Dalton

Title

Director of Administration

Phone

(623) 680-3977

Specialties & licenses 2

Addresses

Other names 1

• Sunwest Dental Doing business as

Tax ID family

Sun West Dental IV LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Sunwest Dental Center IV, LLC

  • General Practice Dentistry
  • Surprise, AZ
  • NPI 1295165710
  NPD tax ID

Practitioners 1

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

• Holly Ann Lerma, D.D.S

  • General Practice Dentistry
  • Scottsdale, AZ
  • NPI 1437350469
  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1689716508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14557 W GRAND AVE STE B106",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747104",
            "telephone_number": "623-374-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14557 W GRAND AVE STE B106",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747104",
            "telephone_number": "623-374-3102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2629 W. Orangewood",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85051",
            "country_code": "US",
            "telephone_number": "602-864-7400",
            "fax_number": "602-864-1570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUN WEST DENTAL IV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION",
        "authorized_official_telephone_number": "623-680-3977"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D4013",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunwest Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunwest Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Surprise, AZ
• Providers in Surprise, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.