Aketzalli Gamez Lizarraga, D. M. D.

Primary specialty

DentistTaxonomy code 122300000X

License

D010068 Issued in AZ

Practice address

781 S Cotton LN Ste 100
Goodyear, AZ 85338-4644

Phone

(623) 882-3636

NPI assigned

Jun 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Goodyear Smiles, LLP

  • General Practice Dentistry
  • Goodyear, AZ
  • NPI 1629220579
  NPD (past)

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1073006243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 S COTTON LN STE 100",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853384644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 S COTTON LN STE 100",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853384644",
            "telephone_number": "623-882-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMEZ LIZARRAGA",
        "first_name": "AKETZALLI",
        "credential": "D. M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D010068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig C Galbasini, P.T.
• Marina Jazmin Galindo, FNP-C
• Theresa Resotko Galler, LPC
• Andrea Gallion, DMD
• Elizabeth Galloway, PA-C
• Vanessa Marie Gamino, MA
• Hui Gao
• Martha Garcia Canales, PA
• Jennifer Garcia Rodriguez
• Brenda Garcia

• Dentist in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.