Sun City Dental, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25489 Issued in TX

Legal business name

SUN CITY DENTAL, PLLC

Practice address

11240 Montwood Dr
Suite J
El Paso, TX 79936-4249

Phone

(915) 201-2539

Fax

(915) 613-5082

NPI assigned

Apr 3, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Iven Gonzalez, DDSNPI 1174836803

Title

Director/Dentist

Phone

(915) 201-2539

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Iven Gonzalez, DDS

  • General Practice Dentistry
  • El Paso, TX
  • NPI 1174836803
  NPD Authorized official

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1770901001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11240 MONTWOOD DR",
            "address_2": "SUITE J",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364249",
            "telephone_number": "915-201-2539",
            "fax_number": "915-613-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11240 MONTWOOD DR",
            "address_2": "SUITE J",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364249",
            "telephone_number": "915-201-2539",
            "fax_number": "915-613-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN CITY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-03",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "IVEN",
        "authorized_official_title_or_position": "DIRECTOR/DENTIST",
        "authorized_official_telephone_number": "915-201-2539",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25489",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS TAX PAYER NUMBER",
            "identifier": "32048136579",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Summit Urgent Care Center PA
• Summit Wellness - Central Texas LLC
• Sun City Ambulance (Rio Grande Ambulance)
• Sun City Anesthesia ,LLC
• Sun City Behavioral Health Care
• Sun City Dermatology, PA
• Sun City Dietitians
• Sun City Envision Healthcare Services, Inc (Envision Hospice)
• Sun City Envision Healthcare Services, Inc. (Envision Home Care)
• Sun City Envision Home Medical Equipment, LLC (Envision Home Medical Equipment)

• General Practice Dentistry in El Paso, TX
• Providers in El Paso, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.