Nick Azar, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

021002490 Issued in IL

Practice address

11 E Lockwood Ave Ste 100
Saint Louis, MO 63119-3052

Phone

(314) 968-1800

NPI assigned

Jul 27, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Nicholas Azar Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1245544709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 YORKSHIRE PL",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631193761",
            "telephone_number": "314-968-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E LOCKWOOD AVE STE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631193052",
            "telephone_number": "314-968-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3540 N Belt W Ste D",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "622265975",
            "country_code": "US",
            "telephone_number": "618-235-3337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14011 Jamestown Rd",
            "address_purpose": "LOCATION",
            "city": "Breese",
            "state": "IL",
            "postal_code": "622303647",
            "country_code": "US",
            "telephone_number": "618-526-9181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1480 N Green Mount Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "IL",
            "postal_code": "622693466",
            "country_code": "US",
            "telephone_number": "618-622-3337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZAR",
        "first_name": "NICK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2009014801",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "2009014801",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "021002490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHOLAS",
            "last_name": "AZAR",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alison Ayotte
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• Sherwin Necunazar Azad, MD
• Azadeh Afshari, DDS LLC
• Adrienne Azama
• Riad R Azar, MD
• Ashley Azeez
• Iqra Azfar
• Naazia Husain Azhar, MD
• Sofiya Azim, DO

• Orthodontics and Dentofacial Orthopedics Dentistry in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.