Active NPI
Azharuddin Salim Mistry, DDS
- Dentist
- Torrance, CA
National Provider Identifier
1619673803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 108524
- Practice address
- 3649 Garnet St Apt 204
Torrance, CA 90503-3385 - Phone
- (571) 378-9397
- NPI assigned
- Jan 31, 2023
- Last updated
- Jan 31, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 108524 | CA | Primary |
Addresses
Primary practice location
3649 Garnet St Apt 204
Torrance, CA 90503-3385
Mailing address
3649 Garnet St Apt 204
Torrance, CA 90503-3385
Phone (571) 378-9397
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108524 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675123200000",
"number": "1619673803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3649 GARNET ST APT 204",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905033385",
"telephone_number": "571-378-9397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3649 GARNET ST APT 204",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905033385",
"telephone_number": "571-378-9397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISTRY",
"first_name": "AZHARUDDIN",
"middle_name": "SALIM",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-31",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "108524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.