NPIMap

Organization Active NPI

Double JD,LLC

Doing business as Sundance Dental Care

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1982821617
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5492 Issued in AZ
Legal business name
DOUBLE JD,LLC
Doing business as
Sundance Dental Care
Practice address
2620 S 83Rd Ave
Suite 104
Phoenix, AZ 85043-7203
Phone
(623) 936-6665
Fax
(623) 936-6829
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James Day, DDS
Title
Owner
Phone
(928) 774-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5492 AZ Primary

Addresses

Primary practice location

2620 S 83Rd Ave
Suite 104
Phoenix, AZ 85043-7203

Mailing address

2620 S 83Rd Ave
Suite 104
Phoenix, AZ 85043-7203
Phone (623) 936-6665

Other names 1

  • Sundance Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

2620 S 83rd Ave
Ste 104
Phoenix, AZ 85043
Phone (623) 936-2678

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982821617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 S 83RD AVE",
            "address_2": "SUITE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850437203",
            "telephone_number": "623-936-6665",
            "fax_number": "623-936-6829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 S 83RD AVE",
            "address_2": "SUITE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850437203",
            "telephone_number": "623-936-6665",
            "fax_number": "623-936-6829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUBLE JD,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-774-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sundance Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.