Nancy Azizi Dental Corp.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

41231 Issued in CA

Legal business name

NANCY AZIZI DENTAL CORP.

Practice address

4041 Alhambra Ave
Suite 109
Martinez, CA 94553-3827

Phone

(925) 370-9900

NPI assigned

Jun 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Nancy Azizi, DDS

Title

President

Phone

(707) 255-1172

Specialties & licenses 1

Addresses

Other names 1

• Artesa Dental Doing business as

Locations

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275739419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 JEFFERSON STREET",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "94559",
            "telephone_number": "707-255-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 ALHAMBRA AVE",
            "address_2": "SUITE 109",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945533827",
            "telephone_number": "925-370-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY AZIZI DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AZIZI",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-255-1172",
        "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": "41231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Artesa Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Martinez, CA
• Providers in Martinez, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.