Organization Active NPI

Nohaud N Azan DDS PC

  • Dentist
  • Sedalia, MO
National Provider Identifier
1285859850
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE015420 Issued in MO
Legal business name
NOHAUD N AZAN DDS PC
Practice address
1806 West 11TH Street
Sedalia, MO 65301
Phone
(660) 826-0263
Fax
(660) 826-6553
NPI assigned
Apr 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nohaud Naseef Azan, DDSNPI 1851725667
Title
Owner
Phone
(660) 826-0263

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
Dentist 122300000X DE015420 MO Primary

Addresses

Primary practice location

1806 West 11TH Street
Sedalia, MO 65301

Mailing address

1806 West 11TH Street
Sedalia, MO 65301
Phone (660) 826-0263

National Provider Directory

National Provider Directory

Locations

1806 W 11th St
Sedalia, MO 65301
Phone (660) 826-0263

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285859850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 WEST 11TH STREET",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "65301",
            "telephone_number": "660-826-0263",
            "fax_number": "660-826-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 WEST 11TH STREET",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "65301",
            "telephone_number": "660-826-0263",
            "fax_number": "660-826-6553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOHAUD N AZAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AZAN",
        "authorized_official_first_name": "NOHAUD",
        "authorized_official_middle_name": "NASEEF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-826-0263",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "DE015420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedalia, MO

Sources for this page

  • 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.