Individual provider Active NPI

Dariene V Lazore, DMD

  • Dentist
  • Glendale, AZ
National Provider Identifier
1497002075
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D008523 Issued in AZ
Practice address
6615 W Happy Valley Rd Ste B103-104
Glendale, AZ 85310-2608
Phone
(623) 267-9367
NPI assigned
Aug 13, 2012
Last updated
Aug 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D008523 AZ Primary

Addresses

Primary practice location

6615 W Happy Valley Rd Ste B103-104
Glendale, AZ 85310-2608

Mailing address

6615 W Happy Valley Rd Ste B103-104
Glendale, AZ 85310-2608
Phone (232) 678-0886

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dariene Lazore, PLLC CurrentSince Jun 21, 2022 Accepting new patients

Locations

6615 W Happy Valley Rd
Ste B103104
Glendale, AZ 85310
Phone (623) 267-9367

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1497002075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 W HAPPY VALLEY RD STE B103-104",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853102608",
            "telephone_number": "232-678-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 W HAPPY VALLEY RD STE B103-104",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853102608",
            "telephone_number": "623-267-9367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZORE",
        "first_name": "DARIENE",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-13",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D008523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.