NPIMap

Organization Active NPI

Sunrise Dental Services, PLLC

  • Dentist
  • Sunrise, FL
National Provider Identifier
1982973764
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN16198 Issued in FL
Legal business name
SUNRISE DENTAL SERVICES, PLLC
Practice address
6765 Sunset Strip
Suite 3
Sunrise, FL 33313-2894
Phone
(954) 572-1500
Fax
(954) 572-8501
NPI assigned
Dec 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Authorized official

Name
Dr. Nancy Orphanos, DDS
Title
President
Phone
(954) 572-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN16198 FL Primary

Addresses

Primary practice location

6765 Sunset Strip
Suite 3
Sunrise, FL 33313-2894

Mailing address

6765 Sunset Strip
Suite 3
Sunrise, FL 33313-2894
Phone (954) 572-1500

Other identifiers 1

IdentifierTypeStateIssuer
075530300MedicaidFL

National Provider Directory

National Provider Directory

Locations

6765 Sunset Strip
Ste 3
Sunrise, FL 33313
Phone (954) 572-1500

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1982973764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6765 SUNSET STRIP",
            "address_2": "SUITE 3",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333132894",
            "telephone_number": "954-572-1500",
            "fax_number": "954-572-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6765 SUNSET STRIP",
            "address_2": "SUITE 3",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333132894",
            "telephone_number": "954-572-1500",
            "fax_number": "954-572-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE DENTAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-22",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "ORPHANOS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-572-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN16198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075530300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.