Individual provider Active NPI

Joseph Azar, DDS

  • General Practice Dentistry
  • Webster Groves, MO
National Provider Identifier
1770977704
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2015004256 Issued in MO
Practice address
11 E Lockwood Ave Ste 100
Webster Groves, MO 63119-3052
Phone
(314) 968-1800
NPI assigned
Mar 27, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 2015004256 MO Primary

Addresses

Primary practice location

11 E Lockwood Ave Ste 100
Webster Groves, MO 63119-3052

Mailing address

110 Edwin Ave
Saint Louis, MO 63122-4835
Phone (314) 740-0780

Other practice location 1

1480 N Green Mount Rd Ste 100
O Fallon, IL 62269-3466
Phone (618) 622-3337

Other practice location 2

3540 N Belt W Ste D
Belleville, IL 62226-5975
Phone (618) 235-3337

Other practice location 3

14011 Jamestown Rd
Breese, IL 62230-3647
Phone (618) 526-9181

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
2015004256MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
STL Dental Group LLC Past Accepting new patients
Southside Dental Care, L.L.C. General Practice Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1770977704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 EDWIN AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631224835",
            "telephone_number": "314-740-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E LOCKWOOD AVE STE 100",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631193052",
            "telephone_number": "314-968-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1480 N Green Mount Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "IL",
            "postal_code": "622693466",
            "country_code": "US",
            "telephone_number": "618-622-3337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3540 N Belt W Ste D",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "622265975",
            "country_code": "US",
            "telephone_number": "618-235-3337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14011 Jamestown Rd",
            "address_purpose": "LOCATION",
            "city": "Breese",
            "state": "IL",
            "postal_code": "622303647",
            "country_code": "US",
            "telephone_number": "618-526-9181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZAR",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-27",
        "last_updated": "2025-09-11",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2015004256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster Groves, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.