Carlos Leonel Benavides Davila, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D009482 Issued in AZ

Practice address

6246 E Pima St Ste 100
Tucson, AZ 85712-3165

Phone

(520) 745-5577

Fax

(520) 745-5708

NPI assigned

Jun 23, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Buena Vida Dental Services, PLLC

  • Dental Clinic/Center
  • Tucson, AZ
  • NPI 1780377572
  NPD Authorized official
• Arizona Dental Professionals, P.C.

  • General Practice Dentistry
  • Sierra Vista, AZ
  • NPI 1578966966
  NPD (past)

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1922459692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2176 W PAINTED SUNSET CIR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857457032",
            "telephone_number": "520-732-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6246 E PIMA ST STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123165",
            "telephone_number": "520-745-5577",
            "fax_number": "520-745-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENAVIDES DAVILA",
        "first_name": "CARLOS",
        "middle_name": "LEONEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-23",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D009482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Marc Belus, PA
• William H Bemis, LCSW
• Ana M Ben Shabat, FNP
• Chantel Benally, MPH
• Gladys Susan Benavente, MSN, ANP-C, CNN
• Nathaniel William John Benavidez, BA, RBT
• Denise Yvonne Bencomo, LPC, LASAC
• Nicole Bencs, DNP, CPNP
• William Bryson Bendall, M.D.
• Donna S Bender, PHD

• General Practice Dentistry in Tucson, AZ
• Providers in Tucson, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.