Organization Active NPI

Nahal Azizkhani DMD, PC

  • General Practice Dentistry
  • Huntsville, AL
National Provider Identifier
1497561674
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NAHAL AZIZKHANI DMD, PC
Practice address
112 Lily Flagg Rd SW
Huntsville, AL 35802-3040
Phone
(256) 881-4580
NPI assigned
Dec 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Nahal Azizkhani, DMDNPI 1366962649
Title
Dentist/Owner
Phone
(256) 881-4580

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

112 Lily Flagg Rd SW
Huntsville, AL 35802-3040

Mailing address

112 Lily Flagg Rd SW
Huntsville, AL 35802-3040
Phone (256) 881-4580

Other names 1

  • Rocket City Dental Former legal business name

National Provider Directory

National Provider Directory

Locations

112 Lily Flagg Rd SW
Huntsville, AL 35802
Phone (256) 881-4580

Practitioners & affiliated clinicians

Practitioners 2

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": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1497561674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 LILY FLAGG RD SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358023040",
            "telephone_number": "256-881-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 LILY FLAGG RD SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358023040",
            "telephone_number": "256-881-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAHAL AZIZKHANI DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "AZIZKHANI",
        "authorized_official_first_name": "NAHAL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "256-881-4580",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rocket City Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rocket City Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.