Active NPI
Joseph Azar, DDS
- General Practice Dentistry
- Webster Groves, MO
National Provider Identifier
1770977704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2015004256
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2015004256 | MO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- Saint Louis, MO
- NPI 1134345093
General Practice
-
- Dental Clinic/Center
- Saint Louis, MO
- NPI 1235071317
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.