Individual provider Active NPI

Levi Azurduy, D.D.S.

  • General Practice Dentistry
  • Rancho Cordova, CA
National Provider Identifier
1083096309
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
64501 Issued in CA
Practice address
2737 Woodberry Way Ste 106
Rancho Cordova, CA 95670-4758
Phone
(916) 391-7525
NPI assigned
Jun 23, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 64501 CA Primary

Addresses

Primary practice location

2737 Woodberry Way Ste 106
Rancho Cordova, CA 95670-4758

Mailing address

2737 Woodberry Way Ste 106
Rancho Cordova, CA 95670-4758
Phone (916) 391-7525

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

NPI Registry JSON

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1083096309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 WOODBERRY WAY STE 106",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956704758",
            "telephone_number": "916-391-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 WOODBERRY WAY STE 106",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956704758",
            "telephone_number": "916-391-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZURDUY",
        "first_name": "LEVI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cordova, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.