Individual provider Active NPI

Elif Duysal Aksoylu, DMD, MPH

  • General Practice Dentistry
  • Winslow, AZ
National Provider Identifier
1710324439
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D9196 Issued in AZ
Practice address
620 Lee St
Winslow, AZ 86047-2435
Phone
(928) 289-2000
Fax
(928) 289-0036
NPI assigned
Jun 4, 2013
Last updated
May 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 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 D9196 AZ Primary

Addresses

Primary practice location

620 Lee St
Winslow, AZ 86047-2435

Mailing address

PO Box 1231
Tucson, AZ 85702-1231
Phone (520) 670-3909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210628003371 AZ Practitioner - Dentist 3375845266 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D9196AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Healthcare, Inc. CurrentSince Jul 1, 2021 Accepting new patients
North Country Healthcare, Inc. Current Accepting new patients
North Country Healthcare, Inc. CurrentSince Jul 1, 2021 Accepting new patients
North Country Healthcare, Inc. Current Accepting new patients

Locations

2920 N 4th St
Flagstaff, AZ 86004
Phone (928) 213-6100

2650 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 532-6900

620 Lee St
Winslow, AZ 86047
Phone (928) 288-8700

Interoperability endpoints

  • Direct secure messaging: elif.aksoylu.p1@direct.scfhc.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1710324439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1231",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857021231",
            "telephone_number": "520-670-3909",
            "fax_number": "520-309-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 LEE ST",
            "city": "WINSLOW",
            "state": "AZ",
            "postal_code": "860472435",
            "telephone_number": "928-289-2000",
            "fax_number": "928-289-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKSOYLU",
        "first_name": "ELIF",
        "middle_name": "DUYSAL",
        "name_prefix": "Dr.",
        "credential": "DMD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-04",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D9196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winslow, AZ

Sources for this page

Verify at the official NPI Registry.