NPIMap

Organization Active NPI

Dean Azzeh D.D.S. Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Newport Beach, CA
National Provider Identifier
1528503588
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
55883 Issued in CA
Legal business name
DEAN AZZEH D.D.S. INC
Doing business as
Family Orthodontics
Practice address
1441 Avocado Ave
Newport Beach, CA 92660-7721
Phone
(949) 640-0203
Fax
(949) 640-2126
NPI assigned
Dec 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2016

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

Authorized official

Name
Dr. Ezz Dean Azzeg, DDS, DMEDSC,
Title
Ceo
Phone
(714) 544-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 55883 CA Primary

Addresses

Primary practice location

1441 Avocado Ave
Newport Beach, CA 92660-7721

Mailing address

1441 Avocado Ave
Newport Beach, CA 92660-7721
Phone (949) 640-0203

Other names 1

  • Family Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dean Azzeh DDS Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1483056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483056000000",
    "number": "1528503588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 AVOCADO AVE",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607721",
            "telephone_number": "949-640-0203",
            "fax_number": "949-640-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 AVOCADO AVE",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607721",
            "telephone_number": "949-640-0203",
            "fax_number": "949-640-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN AZZEH D.D.S. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-30",
        "last_updated": "2016-12-30",
        "status": "A",
        "authorized_official_last_name": "AZZEG",
        "authorized_official_first_name": "EZZ",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-544-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, DMEDSC,"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "55883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.