Active NPI
Caden Carver
- Dermatology Physician
- Glendale, AZ
National Provider Identifier
1295595767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 011993
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 011993 | AZ | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omni Dermatology Incorporated | Dermatology | Current | 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
- 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.
-
- Dermatology Physician
- Glendale, AZ
- NPI 1003082090
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.