Individual provider Active NPI

Kara Ann Benkovich, DMD, MPH

  • Dentist
  • Glendale, AZ
National Provider Identifier
1942884093
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D011042 Issued in AZ
Practice address
6677 W Thunderbird Rd Ste A124
Glendale, AZ 85306-3710
Phone
(623) 223-9677
NPI assigned
May 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D011042 AZ Primary

Addresses

Primary practice location

6677 W Thunderbird Rd Ste A124
Glendale, AZ 85306-3710

Mailing address

8824 Savona CT
Naples, FL 34119-9533
Phone (716) 868-1086

Other practice location 1

15331 W Bell Rd Ste 112
Surprise, AZ 85374-4103
Phone (602) 567-5261

Other practice location 2

1934 E Camelback Rd Ste 110
Phoenix, AZ 85016-4126
Phone (602) 903-4894

Other names 1

  • Kara Benkovich Kalamchi Former name

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
D011042AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Collier Health Services Inc Past Accepting new patients
Dentists of Phoenix, LLP Dentist PastSince Mar 13, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1942884093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8824 SAVONA CT",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341199533",
            "telephone_number": "716-868-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6677 W THUNDERBIRD RD STE A124",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063710",
            "telephone_number": "623-223-9677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15331 W Bell Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853744103",
            "country_code": "US",
            "telephone_number": "602-567-5261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1934 E Camelback Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850164126",
            "country_code": "US",
            "telephone_number": "602-903-4894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENKOVICH",
        "first_name": "KARA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DMD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D011042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "KALAMCHI",
            "middle_name": "BENKOVICH",
            "credential": "DMD MPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.