Deeba Sarah Azhar, DDS MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

32257 Issued in TX

Practice address

1602 W Baker Rd Ste B
Baytown, TX 77521-2282

Phone

(281) 838-8433

Fax

(281) 838-8552

NPI assigned

Feb 24, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1265739403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15315 COASTAL OAK CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770596443",
            "telephone_number": "713-385-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 W BAKER RD STE B",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212282",
            "telephone_number": "281-838-8433",
            "fax_number": "281-838-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZHAR",
        "first_name": "DEEBA",
        "middle_name": "SARAH",
        "credential": "DDS MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-24",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "32257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avanti Consultancy Services Inc
• Melody Rhea Avants, LPC
• Axiscare Alliance LLC
• Christopher Ayala, LPC-A
• Nicholas Ayoade, DDS
• Nisha Annie Azhar, M.D.
• Rukshan Azhar, M.D
• B and B Transportation Services LLC
• B and B Transportation Services LLC
• Wendi Ann Baack, PT

• Oral and Maxillofacial Surgery (Dentist) in Baytown, TX
• Providers in Baytown, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.