Individual provider Active NPI

Safia Azizi, D.M.D.

  • General Practice Dentistry
  • Wilmington, NC
National Provider Identifier
1679585475
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7155 Issued in NC
Practice address
215 Racine Dr
Suite 102
Wilmington, NC 28403-8702
Phone
(910) 332-0687
Fax
(910) 332-0689
NPI assigned
Aug 12, 2006
Last updated
May 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7155 NC Primary

Addresses

Primary practice location

215 Racine Dr
Suite 102
Wilmington, NC 28403-8702

Mailing address

215 Racine Dr
Suite 102
Wilmington, NC 28403-8702
Phone (910) 332-0687

Other identifiers 1

IdentifierTypeStateIssuer
8990131MedicaidNC

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

LicenseStateTypeSpecialty
7155NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Safia Naik-Azizi DMD & Associates PA General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1679585475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 RACINE DR",
            "address_2": "SUITE 102",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038702",
            "telephone_number": "910-332-0687",
            "fax_number": "910-332-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 RACINE DR",
            "address_2": "SUITE 102",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038702",
            "telephone_number": "910-332-0687",
            "fax_number": "910-332-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZIZI",
        "first_name": "SAFIA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8990131",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.