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Organization Active NPI

Sunridge Dental Care Dba Karl K. Wirtz, DDS PC

  • Dental Clinic/Center
  • Sun City West, AZ
National Provider Identifier
1760625677
Registry record updated Apr 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2315 Issued in AZ
Legal business name
SUNRIDGE DENTAL CARE DBA KARL K. WIRTZ, DDS PC
Practice address
13830 W Camino del Sol
#200
Sun City West, AZ 85375-4485
Phone
(623) 544-0700
Fax
(623) 544-0800
NPI assigned
Apr 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2009

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

Authorized official

Name
Dr. Karl K Wirtz, DDS
Title
Owner/President
Phone
(623) 544-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2315 AZ Primary

Addresses

Primary practice location

13830 W Camino del Sol
#200
Sun City West, AZ 85375-4485

Mailing address

13830 W Camino del Sol
#200
Sun City West, AZ 85375-4485
Phone (623) 544-0700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239148800000",
    "number": "1760625677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13830 W CAMINO DEL SOL",
            "address_2": "#200",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754485",
            "telephone_number": "623-544-0700",
            "fax_number": "623-544-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13830 W CAMINO DEL SOL",
            "address_2": "#200",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754485",
            "telephone_number": "623-544-0700",
            "fax_number": "623-544-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRIDGE DENTAL CARE DBA KARL K. WIRTZ, DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-08",
        "last_updated": "2009-04-08",
        "status": "A",
        "authorized_official_last_name": "WIRTZ",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "623-544-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "2315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; 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.