Individual provider Active NPI

Caden Carver

  • Dermatology Physician
  • Glendale, AZ
National Provider Identifier
1295595767
Registry record updated Nov 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
011993 Issued in AZ
Practice address
11851 N 51St Ave Ste E130
Glendale, AZ 85304-2843
Phone
(623) 882-1500
NPI assigned
Mar 20, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 011993 AZ Primary

Addresses

Primary practice location

11851 N 51St Ave Ste E130
Glendale, AZ 85304-2843

Mailing address

21655 N 36TH Ave
Glendale, AZ 85308-2072

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)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
011993AZMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Dermatology Incorporated Dermatology CurrentSince Dec 22, 2025 Accepting new patients

Locations

11851 N 51st Ave
Ste E130
Glendale, AZ 85304
Phone (623) 253-9814

4801 E McDowell Rd
Ste 150
Phoenix, AZ 85008

4801 E McDowell Rd
Ste 150
Phoenix, AZ 85008
Phone (602) 954-3919

4840 E Indian School Rd
Ste 102
Phoenix, AZ 85018
Phone (602) 954-3919

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6619/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762041600000",
    "number": "1295595767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21655 N 36TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853082072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11851 N 51ST AVE STE E130",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853042843",
            "telephone_number": "623-882-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVER",
        "first_name": "CADEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-20",
        "last_updated": "2025-11-02",
        "certification_date": "2025-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "011993",
            "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 Nov 2, 2025; 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.