Organization Active NPI

Sonrisa Family Dentistry

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1750497723
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D6467 Issued in AZ
Legal business name
SONRISA FAMILY DENTISTRY
Practice address
3911 W McDowell
# 15
Phoenix, AZ 85009
Phone
(602) 442-7333
Fax
(602) 442-7999
NPI assigned
Aug 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Eldon W Jenkins
Title
Owner
Phone
(602) 442-7333

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D4206 AZ
Dentist 122300000X D6467 AZ Primary

Addresses

Primary practice location

3911 W McDowell
# 15
Phoenix, AZ 85009

Mailing address

3911 W McDowell
# 15
Phoenix, AZ 85009
Phone (602) 442-7333

National Provider Directory

National Provider Directory

Locations

3911 W McDowell Rd
#15
Phoenix, AZ 85009
Phone (602) 442-7333

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750497723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 W MCDOWELL",
            "address_2": "# 15",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85009",
            "telephone_number": "602-442-7333",
            "fax_number": "602-442-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 W MCDOWELL",
            "address_2": "# 15",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85009",
            "telephone_number": "602-442-7333",
            "fax_number": "602-442-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONRISA FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "ELDON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-442-7333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D4206",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D6467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, 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.