SW Mobile Da

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D5164 Issued in AZ

Legal business name

SW MOBILE DA

Practice address

13575 W Indian School Rd
Ste #1000
Litchfield Park, AZ 85340-4901

Phone

(480) 652-6958

Fax

(424) 230-7849

NPI assigned

Jun 13, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Neil Brownstein, DDS

Title

President

Phone

(480) 652-6958

Specialties & licenses 1

Addresses

Other names 1

• Southwest Mobile Dental Anesthesiology Doing business as

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1871931659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13575 W INDIAN SCHOOL RD",
            "address_2": "STE #1000",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404901",
            "telephone_number": "480-652-6958",
            "fax_number": "424-230-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13575 W INDIAN SCHOOL RD",
            "address_2": "STE #1000",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404901",
            "telephone_number": "480-652-6958",
            "fax_number": "424-230-7849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SW MOBILE DA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "BROWNSTEIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-652-6958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "D5164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Mobile Dental Anesthesiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elena Sukhorukov, NMD
• Debra Dover Sullivan, PA
• Sunset Family Physicians P.C.
• Sunstate Home Care LLC
• Kyler Eric Sutton, M.S. CCC-SLP
• Kelsey Blair Sweatt
• T.Y.P. Home Dialysis Care LLC
• Lauren D Tafoya, AA, RBT
• Karsen Tarrant, RBT
• Tamara J Taylor, MS, CCC-SLP

• Dental Clinic/Center in Litchfield Park, AZ
• Providers in Litchfield Park, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.