NPIMap

Organization Active NPI

Surprise Implants & Family Dentistry

  • Dental Clinic/Center
  • Surprise, AZ
National Provider Identifier
1770005233
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D07677 Issued in AZ
Legal business name
SURPRISE IMPLANTS & FAMILY DENTISTRY
Practice address
14967 W Bell Rd
Ste 100
Surprise, AZ 85374
Phone
(623) 233-6236
Fax
(480) 248-3133
NPI assigned
Jul 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Shreedevi Thulasidas, DDS
Title
Owner
Phone
(480) 815-5222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D07677 AZ Primary

Addresses

Primary practice location

14967 W Bell Rd
Ste 100
Surprise, AZ 85374

Mailing address

14967 W Bell Rd Ste 100
Surprise, AZ 85374-3201
Phone (623) 233-6236

National Provider Directory

National Provider Directory

Locations

14967 W Bell Rd
Ste 100
Surprise, AZ 85374
Phone (623) 233-6236

NPI Registry JSON

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

{
    "created_epoch": "1500163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1770005233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14967 W BELL RD STE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743201",
            "telephone_number": "623-233-6236",
            "fax_number": "480-248-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14967 W BELL RD",
            "address_2": "STE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85374",
            "telephone_number": "623-233-6236",
            "fax_number": "480-248-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURPRISE IMPLANTS & FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "THULASIDAS",
        "authorized_official_first_name": "SHREEDEVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-815-5222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "D07677",
            "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 Jul 21, 2022; 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.