Organization Active NPI

Dariene Lazore, PLLC

  • Dental Clinic/Center
  • Glendale, AZ
National Provider Identifier
1093445595
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DARIENE LAZORE, PLLC
Practice address
6615 W Happy Valley Rd Ste B103-104
Glendale, AZ 85310-2608
Phone
(623) 267-9367
NPI assigned
Jun 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Authorized official

Name
Dr. Dariene Lazore, DMDNPI 1497002075
Title
Dentist/Owner of Clinic
Phone
(623) 267-9367

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

6615 W Happy Valley Rd Ste B103-104
Glendale, AZ 85310-2608

Mailing address

6615 W Happy Valley Rd Ste B103-104
Glendale, AZ 85310-2608
Phone (623) 267-9367

National Provider Directory

National Provider Directory

Locations

6615 W Happy Valley Rd
Ste B103104
Glendale, AZ 85310
Phone (623) 267-9367

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1093445595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 W HAPPY VALLEY RD STE B103-104",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853102608",
            "telephone_number": "623-267-9367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 W HAPPY VALLEY RD STE B103-104",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853102608",
            "telephone_number": "623-267-9367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARIENE LAZORE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "LAZORE",
        "authorized_official_first_name": "DARIENE",
        "authorized_official_title_or_position": "DENTIST/OWNER OF CLINIC",
        "authorized_official_telephone_number": "623-267-9367",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 16, 2022; 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.