Soheir S Azer DDS a Professional Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

42521 Issued in CA

Legal business name

SOHEIR S AZER DDS A PROFESSIONAL CORPORATION

Practice address

355 Placentia Ave Ste 105
Newport Beach, CA 92663-3301

Phone

(949) 548-9000

Fax

(949) 548-9001

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Soheir S Azer, DDS

Title

President Owner

Phone

(949) 548-9000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1073691937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 PLACENTIA AVE STE 105",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633301",
            "telephone_number": "949-548-9000",
            "fax_number": "949-548-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 PLACENTIA AVE STE 105",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633301",
            "telephone_number": "949-548-9000",
            "fax_number": "949-548-9001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10800 Paramount Blvd",
            "address_2": "Ste 307",
            "address_purpose": "LOCATION",
            "city": "Downey",
            "state": "CA",
            "postal_code": "90241",
            "country_code": "US",
            "telephone_number": "562-923-3714",
            "fax_number": "562-862-4634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOHEIR S AZER DDS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "AZER",
        "authorized_official_first_name": "SOHEIR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "949-548-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "42521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.