Ezz Azzeh, DDS, CERT., DMSC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

55883 Issued in CA

Practice address

535 E Main St Ste a
Tustin, CA 92780-4453

Phone

(714) 544-0200

Fax

(714) 509-1517

NPI assigned

Jul 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dean Azzeh Professional name

Medicare fee-for-service enrollment

Enrolled in CA

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

Practice roles

Locations

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.

• Dean Azzeh , DDS Inc.

  • Dental Clinic/Center
  • Tustin, CA
  • NPI 1669077749
  NPD
• Dean Azzeh , DDS Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Tustin, CA
  • NPI 1982546552
  NPD

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1669670931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 E MAIN ST STE A",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804453",
            "telephone_number": "714-544-0200",
            "fax_number": "714-509-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 E MAIN ST STE A",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804453",
            "telephone_number": "714-544-0200",
            "fax_number": "714-509-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZZEH",
        "first_name": "EZZ",
        "credential": "DDS, CERT., DMSC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-06",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "55883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEAN",
            "last_name": "AZZEH",
            "credential": "DDS, INC.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mursel Z Azar, M.A.
• Ruba Azar, RPH
• Thomas Azeizat, MD
• Azizi One & Only Chiropractic, Apc
• Hirbod Azizi, DC
• Gage Logan Babbitt
• Karen Babel, MD
• Robert Frank Bader, MD
• Shannon Marie Badger
• Joshua Bae, L.AC.

• Orthodontics and Dentofacial Orthopedics Dentistry in Tustin, CA
• Providers in Tustin, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.