NPIMap

Organization Active NPI

Surprise Implants & Prosthodontics PLLC

  • Prosthodontics
  • Surprise, AZ
National Provider Identifier
1922563691
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
SURPRISE IMPLANTS & PROSTHODONTICS PLLC
Practice address
14967 W Bell Rd Ste 100
Surprise, AZ 85374-3201
Phone
(623) 233-6236
Fax
(623) 670-5901
NPI assigned
Feb 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Authorized official

Name
Dr. Shreedevi Thulaisdas, DDS.MS
Title
Owner
Phone
(623) 233-6236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X Primary

Addresses

Primary practice location

14967 W Bell Rd Ste 100
Surprise, AZ 85374-3201

Mailing address

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

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1922563691",
    "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": "623-670-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "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": "623-670-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURPRISE IMPLANTS & PROSTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "THULAISDAS",
        "authorized_official_first_name": "SHREEDEVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-233-6236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS.MS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "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 Feb 6, 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.