Active NPI
Azim Dental Corp
- General Practice Dentistry
- Murrieta, CA
National Provider Identifier
1164712816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 59590
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Noorullah Azim, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryPractitioners & 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.
-
- General Practice Dentistry
- Murrieta, CA
- NPI 1184939720
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.