Organization Active NPI

Azar Professional Dental Corporation

  • Oral and Maxillofacial Pathology Dentistry
  • National City, CA
National Provider Identifier
1801314968
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
46745
Legal business name
AZAR PROFESSIONAL DENTAL CORPORATION
Practice address
3403 E Plaza Blvd Ste F
National City, CA 91950-4140
Phone
(619) 267-6599
Fax
(619) 267-6672
NPI assigned
Sep 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Zaihly Azar, DDS
Title
Owner
Phone
(619) 267-6599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0106X 46745 Primary

Addresses

Primary practice location

3403 E Plaza Blvd Ste F
National City, CA 91950-4140

Mailing address

3403 E Plaza Blvd Ste F
National City, CA 91950-4140
Phone (619) 267-6599

National Provider Directory

National Provider Directory

Locations

3403 E Plaza Blvd
Ste F
National City, CA 91950
Phone (619) 267-6599

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1801314968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 E PLAZA BLVD STE F",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919504140",
            "telephone_number": "619-267-6599",
            "fax_number": "619-267-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3403 E PLAZA BLVD STE F",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919504140",
            "telephone_number": "619-267-6599",
            "fax_number": "619-267-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZAR PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "AZAR",
        "authorized_official_first_name": "ZAIHLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-267-6599",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": null,
            "license": "46745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.