Organization Active NPI

Copper Sky Dental, PLLC

  • General Practice Dentistry
  • Peoria, AZ
National Provider Identifier
1063371789
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
COPPER SKY DENTAL, PLLC
Practice address
9431 W Thunderbird Rd Ste 2
Peoria, AZ 85381-4237
Phone
(623) 933-8410
NPI assigned
Jan 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Authorized official

Name
Dr. Lisa Kubik, DMDNPI 1598256257
Title
Owner/Dentist
Phone
(623) 933-8410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

9431 W Thunderbird Rd Ste 2
Peoria, AZ 85381-4237

Mailing address

9431 W Thunderbird Rd Ste 2
Peoria, AZ 85381-4237
Phone (623) 933-8410

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1768780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1063371789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9431 W THUNDERBIRD RD STE 2",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814237",
            "telephone_number": "623-933-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9431 W THUNDERBIRD RD STE 2",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814237",
            "telephone_number": "623-933-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPER SKY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "KUBIK",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "623-933-8410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; 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.