Individual provider Active NPI

Michael Azer, DMD

  • Dentist
  • Rancho Cucamonga, CA
National Provider Identifier
1366054728
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
105326 Issued in CA
Practice address
7270 Victoria Park LN Ste 3a
Rancho Cucamonga, CA 91739-1850
Phone
(310) 349-7637
NPI assigned
Aug 18, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 105326 CA Primary

Addresses

Primary practice location

7270 Victoria Park LN Ste 3a
Rancho Cucamonga, CA 91739-1850

Mailing address

7382 Solstice PL
Rancho Cucamonga, CA 91739-8769
Phone (310) 349-7637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
105326CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Azer, D.M.D., Inc. CurrentSince Dec 3, 2023 Accepting new patients

Locations

7270 Victoria Park Ln
Ste 3A
Rancho Cucamonga, CA 91739
Phone (310) 349-7637

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1366054728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7382 SOLSTICE PL",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398769",
            "telephone_number": "310-349-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7270 VICTORIA PARK LN STE 3A",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917391850",
            "telephone_number": "310-349-7637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZER",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-18",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "105326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.