SHINE AZ LLC
NPI 1689973679
Clinic/Center - Dental in Glendale, AZ

Active since March 16, 2011
5940 W UNION HILLS DR, B 190, GLENDALE, AZ 85308(602) 314-4600(602) 314-5506 Get Directions Write a Review

NPPES record last updated: March 16, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shine Az Llc NPPES

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

SHINE AZ LLC (NPI 1689973679) is a healthcare organization registered as a dental in Glendale, Arizona and active in the NPI registry since March 2011. The organization lists Jonathan Bolesta, Owner, as its authorized official.

NPPES Registry Identity

NPI1689973679
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSHINE AZ LLC
Location Address5940 W UNION HILLS DR, B 190Glendale, AZ 85308-1308
Mailing Address5940 W Union Hills Dr, B 190Glendale, AZ 85308-1308 · (602) 314-4600 · Fax (602) 314-5506
Fax(602) 314-5506
Organization SubpartNo
Authorized OfficialJonathan BolestaOwner · (503) 877-8194
Enumeration DateMarch 16, 2011
NPI 1689973679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in AZ · 7387
5940 W UNION HILLS DR, Glendale, AZ 85308

Accepted Insurance

Other Providers at the Same Location NPPES 18

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

Dentist
5940 W UNION HILLS DR
GLENDALE, AZ 85308
Pediatrics
5940 W UNION HILLS DR, SUITE D-100
GLENDALE, AZ 85308
Pediatrics
5940 W UNION HILLS DR, SUITE D100
GLENDALE, AZ 85308
Pediatrics
5940 W UNION HILLS DR, SUITE D-100
GLENDALE, AZ 85308
Dentist (Orthodontics and Dentofacial Orthopedics)
5940 W UNION HILLS DR, B190
GLENDALE, AZ 85308
Clinic/Center (Mental Health (Including Community Mental Health Center))
5940 W UNION HILLS DR, D-200
GLENDALE, AZ 85308
Pediatrics
5940 W UNION HILLS DR, SUITE D-100
GLENDALE, AZ 85308
Dietitian, Registered
5940 W UNION HILLS DR, SUITE D-200
GLENDALE, AZ 85308

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 Shine Az LLC's NPI number?

The NPI number for Shine Az LLC is 1689973679. It was assigned to this organization in the NPPES registry on March 16, 2011.

Where is Shine Az LLC located?

Shine Az LLC is located at 5940 W Union Hills Dr B 190, Glendale, AZ 85308. The listed phone number is (602) 314-4600.

What is Shine Az LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Shine Az LLC accept?

Health plans from Ambetter from Arizona Complete Health, DentaQuest Insurance Company, Inc. and UnitedHealthcare list Shine Az LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shine Az LLC was last updated on March 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.