Individual provider Active NPI

Aliuska Limias Carbonell, DMD

  • General Practice Dentistry
  • Glendale, AZ
National Provider Identifier
1194464123
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D011387 Issued in AZ
Practice address
13980 N 67TH Ave Ste 2
Glendale, AZ 85306-3715
Phone
(623) 979-9454
Fax
(623) 979-9474
NPI assigned
May 27, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D011387 AZ Primary

Addresses

Primary practice location

13980 N 67TH Ave Ste 2
Glendale, AZ 85306-3715

Mailing address

13980 N 67TH Ave Ste 2
Glendale, AZ 85306-3715
Phone (623) 979-9454

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

LicenseStateTypeSpecialty
D011387AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Thunderbird Dental Trust General Practice PastSince Oct 27, 2024 Accepting new patients
Gregory M Becker DDS LLC General Practice PastSince Oct 27, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1194464123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13980 N 67TH AVE STE 2",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063715",
            "telephone_number": "623-979-9454",
            "fax_number": "623-979-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13980 N 67TH AVE STE 2",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063715",
            "telephone_number": "623-979-9454",
            "fax_number": "623-979-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMIAS CARBONELL",
        "first_name": "ALIUSKA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-27",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D011387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.