Individual provider Active NPI

Alexa Carrara, DDS

  • General Practice Dentistry
  • Tucson, AZ
National Provider Identifier
1801857180
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D5847 Issued in AZ
Practice address
3320 N Campbell Ave Ste 100
Tucson, AZ 85719-2371
Phone
(520) 322-0600
NPI assigned
Mar 28, 2006
Last updated
Oct 30, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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 D5847 AZ Primary

Addresses

Primary practice location

3320 N Campbell Ave Ste 100
Tucson, AZ 85719-2371

Mailing address

3320 N Campbell Ave Ste 100
Tucson, AZ 85719-2371
Phone (520) 322-0600

Other identifiers 1

IdentifierTypeStateIssuer
785222MedicaidAZ

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
D5847AZMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1801857180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 N CAMPBELL AVE STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192371",
            "telephone_number": "520-322-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 N CAMPBELL AVE STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192371",
            "telephone_number": "520-322-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRARA",
        "first_name": "ALEXA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D5847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "785222",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; 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.