DR. LILLIAN GANDARA DDS
NPI 1003877382
Dentist - General Practice in Phoenix, AZ

Q: What is Lillian Gandara's NPI number?

The NPI number for Lillian Gandara is 1003877382. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Q: What is Lillian Gandara's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Lillian Gandara was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 28, 2006PECOS Enrolled

1904 W PARKSIDE LN, SUITE 201, PHOENIX, AZ 85027(623) 434-9343(623) 321-6268 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Lillian Gandara Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LILLIAN GANDARA DDS (NPI 1003877382) is an individual general practice provider in Phoenix, Arizona, licensed in Arizona (D5970) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003877382

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. LILLIAN GANDARACredential: DDS

Location Address1904 W PARKSIDE LN, SUITE 201Phoenix, AZ 85027-1228

Mailing Address7022 E Nelson DrTucson, AZ 85730-1718 · (623) 434-9343 · Fax (623) 321-6268

Phone(623) 434-9343

Fax(623) 321-6268

Sole ProprietorNo

Enumeration DateMarch 28, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1003877382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in AZ · D5970✔ Licensed in TX · 20097

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1904 W PARKSIDE LN, Phoenix, AZ 85027

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Other Identifiers 1

Medicaid830332AZ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lillian Gandara Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85027 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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