Active NPI
Dean Aguilar, DMD
- General Practice Dentistry
- Peoria, AZ
National Provider Identifier
1134813140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D011808
- Practice address
- 13470 N 83Rd Ave Ste 100
Peoria, AZ 85381-4148 - Phone
- (623) 412-9600
- NPI assigned
- Jun 5, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D011808 | AZ | Primary |
Addresses
Primary practice location
13470 N 83Rd Ave Ste 100
Peoria, AZ 85381-4148
Mailing address
13470 N 83Rd Ave Ste 100
Peoria, AZ 85381-4148
Phone (623) 412-9600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D011808 | AZ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685923200000",
"number": "1134813140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13470 N 83RD AVE STE 100",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814148",
"telephone_number": "623-412-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13470 N 83RD AVE STE 100",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814148",
"telephone_number": "623-412-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUILAR",
"first_name": "DEAN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-05",
"last_updated": "2023-06-05",
"certification_date": "2023-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D011808",
"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 Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.