NPIMap

Organization Active NPI

Arizona Dental Professionals, P.C.

Doing business as Sundome Crossing Dental Care

  • General Practice Dentistry
  • Sun City West, AZ
National Provider Identifier
1851933857
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ARIZONA DENTAL PROFESSIONALS, P.C.
Doing business as
Sundome Crossing Dental Care
Practice address
19221 N R H Johnson Blvd
Sun City West, AZ 85375-4487
Phone
(623) 473-7706
Fax
(623) 248-9224
NPI assigned
Oct 10, 2019
Organization subpart
Yes
Parent organization
ARIZONA DENTAL PROFESSIONALS, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Authorized official

Name
Jessica Britt
Title
Credentialing Coordinator
Phone
(217) 540-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

19221 N R H Johnson Blvd
Sun City West, AZ 85375-4487

Mailing address

19221 N R H Johnson Blvd
Sun City West, AZ 85375-4487
Phone (480) 667-5830

Other names 1

  • Sundome Crossing Dental Care Doing business as

National Provider Directory

National Provider Directory
Part of
Frank Nelson DDS PC

Locations

19221 N R H Johnson Blvd
Sun City West, AZ 85375
Phone (623) 473-7706

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1851933857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19221 N R H JOHNSON BLVD",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754487",
            "telephone_number": "480-667-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19221 N R H JOHNSON BLVD",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754487",
            "telephone_number": "623-473-7706",
            "fax_number": "623-248-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA DENTAL PROFESSIONALS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARIZONA DENTAL PROFESSIONALS, P.C.",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "BRITT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-5100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sundome Crossing Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sundome Crossing Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 30, 2019; 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.