Individual provider Active NPI

Hamid Azizi, DDS

  • Dentist
  • Vancouver, WA
National Provider Identifier
1598200610
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60671537 Issued in WA
Practice address
512 NE 81St St Ste G
Vancouver, WA 98665-8134
Phone
(360) 735-9422
NPI assigned
Dec 28, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE60671537 WA Primary

Addresses

Primary practice location

512 NE 81St St Ste G
Vancouver, WA 98665-8134

Mailing address

512 NE 81St St Ste G
Vancouver, WA 98665-8134
Phone (360) 735-9422

Other practice location 1

620 N Emerson Ave Ste 304
Wenatchee, WA 98801-6619
Phone (509) 886-0500

Other practice location 2

4805 NE St James Rd
Vancouver, WA 98663-2155
Phone (360) 693-2544

Other practice location 3

4805 NE St James Rd
Vancouver, WA 98663-2155
Phone (360) 693-2544

Other practice location 4

620 N Emerson Ave Ste 304
Wenatchee, WA 98801-6619
Phone (509) 886-0500

Other practice location 5

7604 NE 5th Ave Ste 114
Vancouver, WA 98665-8200
Phone (360) 735-9422

Other practice location 6

512 NE 81st St Ste G
Vancouver, WA 98665-8134
Phone (360) 735-9422

Other practice location 7

512 NE 81st St Ste G
Vancouver, WA 98665-8134
Phone (360) 735-9422

Other practice location 8

512 NE 81st St Ste G
Vancouver, WA 98665-8134
Phone (360) 735-9422

Other practice location 9

512 NE 81st St Ste G
Vancouver, WA 98665-8134
Phone (360) 735-9422

Other practice location 10

512 NE 81st St Ste G
Vancouver, WA 98665
Phone (360) 735-9422

Other practice location 11

512 NE 81st St Ste G
Vancouver, WA 98665
Phone (360) 735-9422

Other practice location 12

512 NE 81st St Ste G
Vancouver, WA 98665-8134
Phone (360) 735-9422

Other practice location 13

512 NE 81st St Ste G
Vancouver, WA 98665
Phone (360) 735-9422

Other practice location 14

512 NE 81st St Ste G
Vancouver, WA 98665
Phone (360) 735-9422

Other practice location 15

512 NE 81st St Ste G
Vancouver, WA 98665
Phone (360) 735-9422

Other practice location 16

512 NE 81st St Ste G
Vancouver, WA 98665-8134
Phone (360) 735-9422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221107003237 WA Practitioner - Dentist 5890162630 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Azizi PLLC Dentist CurrentSince Oct 1, 2022 Accepting new patients
Grace Family Dental Dentist Current Accepting new patients
Z. Chen., D.M.D., P.L.L.C Past Accepting new patients
Apy PC Dentist Past Accepting new patients

Locations

1538 11th Ave
Longview, WA 98632
Phone (323) 804-1324

Organizations & group practices 4

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": "1482883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1598200610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 NE 81ST ST STE G",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658134",
            "telephone_number": "360-735-9422",
            "fax_number": "877-323-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 NE 81ST ST STE G",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658134",
            "telephone_number": "360-735-9422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 N Emerson Ave Ste 304",
            "address_purpose": "LOCATION",
            "city": "Wenatchee",
            "state": "WA",
            "postal_code": "988016619",
            "country_code": "US",
            "telephone_number": "509-886-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4805 NE St James Rd",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986632155",
            "country_code": "US",
            "telephone_number": "360-693-2544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4805 NE St James Rd",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986632155",
            "country_code": "US",
            "telephone_number": "360-693-2544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 N Emerson Ave Ste 304",
            "address_purpose": "LOCATION",
            "city": "Wenatchee",
            "state": "WA",
            "postal_code": "988016619",
            "country_code": "US",
            "telephone_number": "509-886-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7604 NE 5th Ave Ste 114",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986658200",
            "country_code": "US",
            "telephone_number": "360-735-9422",
            "fax_number": "360-735-9404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "512 NE 81st St Ste G",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986658134",
            "country_code": "US",
            "telephone_number": "360-735-9422",
            "fax_number": "360-735-9404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "512 NE 81st St Ste G",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986658134",
            "country_code": "US",
            "telephone_number": "360-735-9422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "512 NE 81st St Ste G",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986658134",
            "country_code": "US",
            "telephone_number": "360-735-9422",
            "fax_number": "360-735-9404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "512 NE 81st St Ste G",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986658134",
            "country_code": "US",
            "telephone_number": "360-735-9422",
            "fax_number": "360-735-9404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "512 NE 81st St Ste G",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "98665",
            "country_code": "US",
            "telephone_number": "360-735-9422",
            "fax_number": "360-735-9404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "512 NE 81st St Ste G",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "98665",
            "country_code": "US",
            "telephone_number": "360-735-9422",
            "fax_number": "360-735-9404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "512 NE 81st St Ste G",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986658134",
            "country_code": "US",
            "telephone_number": "360-735-9422",
            "fax_number": "877-323-7971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "512 NE 81st St Ste G",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "98665",
            "country_code": "US",
            "telephone_number": "360-735-9422",
            "fax_number": "877-323-7971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "512 NE 81st St Ste G",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "98665",
            "country_code": "US",
            "telephone_number": "360-735-9422",
            "fax_number": "877-323-7971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "512 NE 81st St Ste G",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "98665",
            "country_code": "US",
            "telephone_number": "360-735-9422",
            "fax_number": "877-323-7971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "512 NE 81st St Ste G",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986658134",
            "country_code": "US",
            "telephone_number": "360-735-9422",
            "fax_number": "877-323-7971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZIZI",
        "first_name": "HAMID",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-28",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60671537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.