Individual provider Active NPI

Adya Chaurasia

  • General Practice Dentistry
  • Buckeye, AZ
National Provider Identifier
1386571974
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D012716 Issued in AZ
Practice address
19591 W Indian School Rd Ste 101
Buckeye, AZ 85396-2096
Phone
(602) 830-3837
Fax
(602) 814-0957
NPI assigned
May 6, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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 D012716 AZ Primary

Addresses

Primary practice location

19591 W Indian School Rd Ste 101
Buckeye, AZ 85396-2096

Mailing address

6450 W Lawrence LN
Glendale, AZ 85302-4456
Phone (503) 739-4907

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
D012716AZMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1778025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1386571974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 W LAWRENCE LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853024456",
            "telephone_number": "503-739-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19591 W INDIAN SCHOOL RD STE 101",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853962096",
            "telephone_number": "602-830-3837",
            "fax_number": "602-814-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAURASIA",
        "first_name": "ADYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-06",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D012716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckeye, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.