Active NPI
Daniel Mendez
- Dentist
- Surprise, AZ
National Provider Identifier
1740117191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D012840
- Practice address
- 13733 N Prasada Pkwy Ste 108
Surprise, AZ 85388-8014 - Phone
- (623) 777-3329
- NPI assigned
- May 7, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D012840 | AZ | Primary |
Addresses
Primary practice location
13733 N Prasada Pkwy Ste 108
Surprise, AZ 85388-8014
Mailing address
19822 N 47TH Dr
Glendale, AZ 85308-5128
Phone (818) 826-0524
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D012840 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surprise Modern Dentistry LLP | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Surprise, AZ
- NPI 1376200261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1740117191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19822 N 47TH DR",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853085128",
"telephone_number": "818-826-0524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13733 N PRASADA PKWY STE 108",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853888014",
"telephone_number": "623-777-3329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ",
"first_name": "DANIEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-05-07",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D012840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.