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Export Provider Record NPI 1255135950
Sdcaz Llc
Organization Subpart: YES
Active
NPI Number1255135950
NPI TypeNPI-2 Organization
SpecialtyDentist, Pediatric Dentistry
Provider Details
NPI1255135950
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2025-04-02
Last Updated2025-04-02
Authorized OfficialCassandra Wieth
Director of Payor Relations
Phone: 6232678121
Mailing Address3101 W Indian School Rd
Phoenix, AZ 85017-4035
United States
Phone: (602) 861-3333
📍 View Map
Primary Practice Address3101 W Indian School Rd
Phoenix, AZ 85017-4035
United States
Phone: (602) 861-3333
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No1223G0001X – Dentist, General Practice--
Yes1223P0221X – Dentist, Pediatric Dentistry--
No1223X0400X – Dentist, Orthodontics and Dentofacial Orthopedics--
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About NPI 1255135950

Sdcaz Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1255135950. The primary specialty listed is Dentist, Pediatric Dentistry. The organization is located in Phoenix, AZ. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2025-04-02. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1255135950?

NPI 1255135950 belongs to Sdcaz Llc, a Dentist, Pediatric Dentistry in Phoenix, AZ. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1255135950 active?

The current status of NPI 1255135950 in the NPPES registry is Active. The record was last updated on 2025-04-02.

What specialty is NPI 1255135950?

NPI 1255135950 is classified under the taxonomy Dentist, Pediatric Dentistry. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1255135950?

You can verify NPI 1255135950 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1255135950?

The primary practice address on file for NPI 1255135950 is 3101 W Indian School Rd, Phoenix, AZ 85017-4035. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1255135950 issued?

NPI 1255135950 was first issued (enumerated) on 2025-04-02. The NPPES record was last updated on 2025-04-02.

Practice Location Map

Sdcaz Llc is located at 3101 W Indian School Rd, Phoenix, AZ. Use the map below to find directions or verify the practice location.

📍 3101 W Indian School Rd, Phoenix, AZ 85017-4035  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Sdcaz Llc. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-07-25 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162