Active NPI
Lisa Toni Davis Kulp, D.M.D.
- General Practice Dentistry
- Phoenix, AZ
National Provider Identifier
1528064169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2904
- Practice address
- 4517 N 32ND St
Phoenix, AZ 85018-3339 - Phone
- (480) 924-3062
- NPI assigned
- Jun 27, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2904 | AZ | Primary |
Addresses
Primary practice location
4517 N 32ND St
Phoenix, AZ 85018-3339
Mailing address
3028 E Northridge St
Mesa, AZ 85213-1631
Phone (480) 924-3062
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2904 | AZ | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1528064169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3028 E NORTHRIDGE ST",
"city": "MESA",
"state": "AZ",
"postal_code": "852131631",
"telephone_number": "480-924-3062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4517 N 32ND ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850183339",
"telephone_number": "480-924-3062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS KULP",
"first_name": "LISA",
"middle_name": "TONI",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "2904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.