Azam Mohammed Aleemuddin, DDS, MPH

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS107422 Issued in CA

Practice address

1965 Foothill Blvd Ste L
La Verne, CA 91750-3502

Phone

(909) 596-6500

NPI assigned

Sep 5, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Azam Aleemuddin DDS, Inc.

  • Dental Clinic/Center
  • La Verne, CA
  • NPI 1891570529
  NPD Authorized official
• Perveen Aleemuddin DDS, Inc.

  • General Practice Dentistry
  • Placentia, CA
  • NPI 1023220506

  General Practice

  NPD (past)

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694908800000",
    "number": "1700368792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21050 STONYBROOK DR",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917895012",
            "telephone_number": "951-907-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 FOOTHILL BLVD STE L",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503502",
            "telephone_number": "909-596-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 E Chapman Ave",
            "address_purpose": "LOCATION",
            "city": "Placentia",
            "state": "CA",
            "postal_code": "928705600",
            "country_code": "US",
            "telephone_number": "714-579-7788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEEMUDDIN",
        "first_name": "AZAM",
        "middle_name": "MOHAMMED",
        "name_prefix": "Dr.",
        "credential": "DDS, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-05",
        "last_updated": "2023-09-17",
        "certification_date": "2023-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "33936",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS107422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Adams, MOT, OTR/L
• Advanced Medical Xray Inc
• Aeon Medical Equipment & Supplies, Inc
• Hira Hareem Alam, D.M.D
• Anderson Gustavo Alas, DDS
• Haneen Alghita
• Younis Arif Ali, MD
• Elias Aljamal
• Ali Alkhafaji
• All in Homecare

• All providers in La Verne, CA
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.

Verify at the official NPI Registry.