NPIMap

Organization Active NPI

Sun West Dental Center III, LLC

  • Dentist
  • Peoria, AZ
National Provider Identifier
1750424495
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D5216 Issued in AZ
Legal business name
SUN WEST DENTAL CENTER III, LLC
Practice address
9059 W Lake Pleasant Pkwy
# A-100
Peoria, AZ 85382-8336
Phone
(623) 572-0102
Fax
(623) 572-0547
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Reese Turner, D.D.S.NPI 1992734180
Title
Senior Provider
Phone
(623) 572-0102

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X D5216 AZ Primary

Addresses

Primary practice location

9059 W Lake Pleasant Pkwy
# A-100
Peoria, AZ 85382-8336

Mailing address

600 E University Dr
Corp
Mesa, AZ 85203-7927
Phone (623) 572-0102

Other names 1

  • Sun West Dental Center 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

9059 W Lake Pleasant Pkwy
#A100
Peoria, AZ 85382
Phone (623) 572-0102

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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": "1598054400000",
    "number": "1750424495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E UNIVERSITY DR",
            "address_2": "CORP",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852037927",
            "telephone_number": "623-572-0102",
            "fax_number": "623-572-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9059 W LAKE PLEASANT PKWY",
            "address_2": "# A-100",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853828336",
            "telephone_number": "623-572-0102",
            "fax_number": "623-572-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN WEST DENTAL CENTER III, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "REESE",
        "authorized_official_title_or_position": "SENIOR PROVIDER",
        "authorized_official_telephone_number": "623-572-0102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D5216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun West Dental Center",
            "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 Aug 22, 2020; 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.