Azure GD1 LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AZURE GD1 LLC

Practice address

15215 S 48TH St
Phoenix, AZ 85044-9142

Phone

(480) 582-4973

NPI assigned

Oct 21, 2025

Last updated

Oct 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Mazzarella, MBR

Title

Managing Partner

Phone

(602) 568-1243

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1761004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1568339745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7425 E SHEA BLVD STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15215 S 48TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850449142",
            "telephone_number": "480-582-4973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZURE GD1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "MAZZARELLA",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "602-568-1243",
        "authorized_official_credential": "MBR"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Phoenix, AZ
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.