SV Gilbert, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

SV GILBERT, LLC

Practice address

3592 S Atherton Blvd
Suite 107
Gilbert, AZ 85297-7443

Phone

(480) 889-1877

Fax

(480) 889-1876

NPI assigned

Oct 29, 2015

Organization subpart

No

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

Authorized official

Name

John E Ballard

Title

Cfo, Cio

Phone

(480) 889-9457

Specialties & licenses 2

Addresses

Other names 1

• Sun Valley Pediatric Dentistry Gilbert Doing business as

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1710359658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 E HOLMES AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063372",
            "telephone_number": "480-889-9457",
            "fax_number": "480-696-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3592 S ATHERTON BLVD",
            "address_2": "SUITE 107",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977443",
            "telephone_number": "480-889-1877",
            "fax_number": "480-889-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SV GILBERT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CFO, CIO",
        "authorized_official_telephone_number": "480-889-9457"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun Valley Pediatric Dentistry Gilbert",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Casey J Suter, PA
• Heather Anne Sutherland, DMD
• Leslie Sutherland
• Michael Joseph Sutherland
• Staci Sutton, RN
• Alexander Svac, DC
• Trista Svaranowic, PHARMD
• SW Anesthesia, P.C.
• Darcy Swaim, R.N.
• John K Swain, DMD

• Pediatric Dentistry in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Pediatric Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.