SURPRISE ENDO PLLC
NPI 1285432518
Dentist - Endodontics in Surprise, AZ

Active since March 04, 2025
15294 W BROOKSIDE LN STE 100, SURPRISE, AZ 85374(623) 376-7400 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Surprise Endo Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SURPRISE ENDO PLLC (NPI 1285432518), doing business as Surprise Endodontics, is a healthcare organization registered as an endodontics in Surprise, Arizona and active in the NPI registry since March 2025. The organization lists Ryne Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1285432518
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameSURPRISE ENDO PLLC
Location Address15294 W BROOKSIDE LN STE 100Surprise, AZ 85374-2446
Mailing Address15294 W Brookside Ln Ste 100Surprise, AZ 85374-2446
Organization SubpartNo
Authorized OfficialRyne JacksonOwner · (480) 353-6476
Enumeration DateMarch 4, 2025
NPPES CertifiedMarch 4, 2025
NPI 1285432518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
15294 W BROOKSIDE LN STE 100, Surprise, AZ 85374

Other Names 1

Doing Business AsSurprise Endodontics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Endodontics)
15294 W BROOKSIDE LN STE 100
SURPRISE, AZ 85374
Dentist (Endodontics)
15294 W BROOKSIDE LN STE 100
SURPRISE, AZ 85374
Dentist (Endodontics)
15294 W BROOKSIDE LN STE 100
SURPRISE, AZ 85374

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Surprise Endo PLLC's NPI number?

The NPI number for Surprise Endo PLLC is 1285432518. It was assigned to this organization in the NPPES registry on March 4, 2025. The provider is doing business as Surprise Endodontics.

Where is Surprise Endo PLLC located?

Surprise Endo PLLC is located at 15294 W Brookside Ln Ste 100, Surprise, AZ 85374. The listed phone number is (623) 376-7400.

What is Surprise Endo PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Surprise Endo PLLC was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.