Individual provider Active NPI

Elizaveta Hamann, DMD

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1215310461
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30024556 Issued in OH
Practice address
4235 N 32ND St Ste C
Phoenix, AZ 85018-4766
Phone
(602) 957-2411
NPI assigned
Jul 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30024556 OH Primary

Addresses

Primary practice location

4235 N 32ND St Ste C
Phoenix, AZ 85018-4766

Mailing address

4235 N 32ND St Ste C
Phoenix, AZ 85018-4766
Phone (602) 951-2411

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230621001426 AZ Practitioner - DentistPractitioner - Sleep Medicine 1557681616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DentistAlso: Sleep Medicine
Education
Midwestern University College of Dental Medicine, Glendale, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austrocylindropuntia LLCGroup PAC ID 1759601818, 2 clinicians

Practice addresses (Care Compare)

4235 N 32ND St
Suite a
Phoenix, AZ 85018-4766
Phone (602) 957-3808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30024556OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dang Dental PLLC PastSince May 12, 2024 Accepting new patients
Stenopuntia LLC General Practice Past Accepting new patients
Cylindropuntia LLC General Practice Past Accepting new patients
Lianjie, LLC General Practice PastSince Jul 22, 2017 Accepting new patients
Agave Dental LLC General Practice Past Accepting new patients
Ohio Dental Professionals Workman, PC General Practice Past Accepting new patients

Organizations & group practices 7

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": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1215310461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 N 32ND ST STE C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850184766",
            "telephone_number": "602-951-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 N 32ND ST STE C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850184766",
            "telephone_number": "602-957-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMANN",
        "first_name": "ELIZAVETA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30024556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.