Individual provider Active NPI

Lisa Beth Bienstock, D.M.D

  • Pediatric Dentistry
  • Phoenix, AZ
National Provider Identifier
1053561035
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D07308 Issued in AZ
Practice address
1934 E Camelback Rd Ste 110
Phoenix, AZ 85016-4126
Phone
(602) 903-4894
Fax
(602) 675-9843
NPI assigned
Sep 25, 2008
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D7308 AZ
Dentist 122300000X P57185 NY
Pediatric Dentistry 1223P0221X 054398 NY
Pediatric Dentistry 1223P0221X D07308 AZ Primary

Addresses

Primary practice location

1934 E Camelback Rd Ste 110
Phoenix, AZ 85016-4126

Mailing address

1934 E Camelback Rd Ste 110
Phoenix, AZ 85016-4136
Phone (602) 903-4894

Other practice location 1

10213 N 92nd St # H102
Scottsdale, AZ 85258-4561
Phone (602) 833-2564

Other practice location 2

2460 W Happy Valley Rd Ste 1189
Phoenix, AZ 85085-8511
Phone (602) 903-4894

Other practice location 3

15264 W Brookside Ln Ste 150
Surprise, AZ 85374-3997
Phone (623) 935-9873

Other practice location 4

1579 N Dysart Rd Ste F
Avondale, AZ 85392-1221
Phone (623) 935-9873

Other practice location 5

1285 E Sunset Dr
Casa Grande, AZ 85122-2942
Phone (520) 442-0332

Other practice location 6

8348 W Deer Valley Rd Ste A-110
Peoria, AZ 85382-2461
Phone (623) 935-9873

Other identifiers 1

IdentifierTypeStateIssuer
080451MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160927003100 AZ Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 0042507550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D7308AZMDDentist
P57185NYMDDentist
D07308AZMDPediatric Dentist
054398NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dentists of Phoenix, LLP Dentist CurrentSince Mar 13, 2022 Accepting new patients
Kids Integrative Norterra Dentistry, LLC Pediatric Dentistry PastSince Feb 27, 2022 Accepting new patients
7TH and Bell Dental Group LLP Dentist Past Accepting new patients

Locations

1934 E Camelback Rd
Ste 110
Phoenix, AZ 85016
Phone (602) 833-2564

17000 Red Hill Ave
Irvine, CA 92614
Phone (714) 845-8890

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1053561035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 E CAMELBACK RD STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164136",
            "telephone_number": "602-903-4894",
            "fax_number": "602-675-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 E CAMELBACK RD STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164126",
            "telephone_number": "602-903-4894",
            "fax_number": "602-675-9843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10213 N 92nd St # H102",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852584561",
            "country_code": "US",
            "telephone_number": "602-833-2564",
            "fax_number": "480-307-9957",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2460 W Happy Valley Rd Ste 1189",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850858511",
            "country_code": "US",
            "telephone_number": "602-903-4894",
            "fax_number": "302-675-9843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15264 W Brookside Ln Ste 150",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853743997",
            "country_code": "US",
            "telephone_number": "623-935-9873",
            "fax_number": "623-748-9748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1579 N Dysart Rd Ste F",
            "address_purpose": "LOCATION",
            "city": "Avondale",
            "state": "AZ",
            "postal_code": "853921221",
            "country_code": "US",
            "telephone_number": "623-935-9873",
            "fax_number": "623-536-6700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1285 E Sunset Dr",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851222942",
            "country_code": "US",
            "telephone_number": "520-442-0332",
            "fax_number": "480-531-8074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8348 W Deer Valley Rd Ste A-110",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853822461",
            "country_code": "US",
            "telephone_number": "623-935-9873",
            "fax_number": "623-233-6406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIENSTOCK",
        "first_name": "LISA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-25",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D7308",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "P57185",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "054398",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D07308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080451",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.