Organization Active NPI

Darryl Todd Azouz, DDS, Inc

Doing business as Serenity Dental

  • Dental Clinic/Center
  • Rocklin, CA
National Provider Identifier
1285273284
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DARRYL TODD AZOUZ, DDS, INC
Doing business as
Serenity Dental
Practice address
6661 Stanford Ranch Rd Ste D
Rocklin, CA 95677-2675
Phone
(916) 630-1084
NPI assigned
Dec 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Authorized official

Name
Darryl Todd Azouz, DDSNPI 1255495347
Title
Owner
Phone
(916) 961-3383

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

6661 Stanford Ranch Rd Ste D
Rocklin, CA 95677-2675

Mailing address

6661 Stanford Ranch Rd Ste D
Rocklin, CA 95677-2675
Phone (916) 630-1084

Other names 1

  • Serenity Dental Doing business as

National Provider Directory

National Provider Directory

Locations

6661 Stanford Ranch Rd
Ste D
Rocklin, CA 95677
Phone (916) 471-2999

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1285273284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6661 STANFORD RANCH RD STE D",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956772675",
            "telephone_number": "916-630-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6661 STANFORD RANCH RD STE D",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956772675",
            "telephone_number": "916-630-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARRYL TODD AZOUZ, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-23",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "AZOUZ",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-961-3383",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.