Individual provider Active NPI

Lubna Azeem, DDS

  • Dentist
  • San Jose, CA
National Provider Identifier
1689972648
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
59978 Issued in CA
Practice address
1027 Corvette Dr
San Jose, CA 95129-2904
Phone
(408) 396-3544
NPI assigned
Feb 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 59978 CA Primary
General Practice Dentistry 1223G0001X 59978 CA

Addresses

Primary practice location

1027 Corvette Dr
San Jose, CA 95129-2904

Mailing address

1027 Corvette Dr
San Jose, CA 95129-2904
Phone (408) 396-3544

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
59978CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Care Sleep Clinic Inc. CurrentSince Nov 29, 2020 Accepting new patients
Lubna Azeem DDS Inc General Practice Current Accepting new patients

Locations

5150 Graves Ave
Ste 11F
San Jose, CA 95129
Phone (408) 253-4880

Organizations & group practices 2

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": "1298851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1689972648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 CORVETTE DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951292904",
            "telephone_number": "408-396-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 CORVETTE DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951292904",
            "telephone_number": "408-396-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZEEM",
        "first_name": "LUBNA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-28",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "59978",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59978",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.