Individual provider Active NPI

Azeem K. Lakha, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Palo Alto, CA
National Provider Identifier
1053338087
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
034139 Issued in CA
Practice address
720 Cowper St
Palo Alto, CA 94301-2602
Phone
(650) 328-6622
Fax
(650) 328-9970
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 034139 CA Primary

Addresses

Primary practice location

720 Cowper St
Palo Alto, CA 94301-2602

Mailing address

720 Cowper St
Palo Alto, CA 94301-2602
Phone (650) 328-6622

Other names 1

  • Scott C. Baird Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2015 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
034139CAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Azeem K. Lakha, DMD, a.P.C. Oral and Maxillofacial Surgery PastSince Jun 28, 1991 Accepting new patients

Organizations & group practices 1

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281571200000",
    "number": "1053338087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 COWPER ST",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012602",
            "telephone_number": "650-328-6622",
            "fax_number": "650-328-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 COWPER ST",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012602",
            "telephone_number": "650-328-6622",
            "fax_number": "650-328-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKHA",
        "first_name": "AZEEM",
        "middle_name": "K.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2010-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "034139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SCOTT",
            "last_name": "BAIRD",
            "middle_name": "C.",
            "credential": "D.M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.