Liya G Ayenew, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

107983 Issued in CA

Practice address

3433 Arden Way
Sacramento, CA 95825-2018

Phone

(404) 513-7189

NPI assigned

Sep 7, 2022

Last updated

Sep 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1245951391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 SIERRA BLVD APT 12",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254816",
            "telephone_number": "404-513-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 ARDEN WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252018",
            "telephone_number": "404-513-7189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYENEW",
        "first_name": "LIYA",
        "middle_name": "G",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "107983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Wu Ayala, DO
• Sebastian Ayala
• Daniel A Ayana, NP
• Lydia Liane Aye, D.O.
• Sosena Ayele
• Carvin Evans Ayers
• Gay D Ayers, P.A.
• Ayesha Holdings Co
• Richard Aylward, CP
• Kathleen Danette Aymett, M.A.,MFT

• Dentist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.