Organization Active NPI

Azim Dental Corp

  • General Practice Dentistry
  • Murrieta, CA
National Provider Identifier
1164712816
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
59590 Issued in CA
Legal business name
AZIM DENTAL CORP
Practice address
24837 Jefferson Ave Ste 206
Murrieta, CA 92562-7720
Phone
(951) 577-8090
NPI assigned
Apr 14, 2011
Last updated
Oct 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Dr. Noorullah Azim, DDSNPI 1184939720
Title
President
Phone
(818) 508-7200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 59590 CA Primary

Addresses

Primary practice location

24837 Jefferson Ave Ste 206
Murrieta, CA 92562-7720

Mailing address

5953 Laurel Canyon Blvd Ste B
Valley Village, CA 91607-5224
Phone (818) 508-7200

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1164712816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5953 LAUREL CANYON BLVD STE B",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916075224",
            "telephone_number": "818-508-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24837 JEFFERSON AVE STE 206",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925627720",
            "telephone_number": "951-577-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZIM DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-14",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "AZIM",
        "authorized_official_first_name": "NOORULLAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-508-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.