Lawlay Naeimasa Azizi, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D07896 Issued in AZ

Practice address

10452 E Quartz Rock Rd
Scottsdale, AZ 85255-8013

Phone

(480) 280-6436

Fax

(480) 247-3248

NPI assigned

Sep 17, 2007

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 12, 2012.

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1669668307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10452 E QUARTZ ROCK RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852558013",
            "telephone_number": "480-280-6436",
            "fax_number": "480-247-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10452 E QUARTZ ROCK RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852558013",
            "telephone_number": "480-280-6436",
            "fax_number": "480-247-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZIZI",
        "first_name": "LAWLAY",
        "middle_name": "NAEIMASA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-17",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D07896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Scottsdale, AZ
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.