DR. SHADIE R AZAR D.M.D.
NPI 1144600289
Dentist - Periodontics in Upland, CA

Active since June 03, 2015
250 E 7TH ST STE D, UPLAND, CA 91786(951) 316-3384(909) 981-2149 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 12, 2021, Mar 28, 2017 (2 updates tracked since 2017).

About Dr. Shadie R Azar D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHADIE R AZAR D.M.D. (NPI 1144600289) is an individual periodontics provider in Upland, California, licensed in California (105586) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1144600289
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. SHADIE R AZARCredential: D.M.D.
Location Address250 E 7TH ST STE DUpland, CA 91786-6685
Mailing Address250 E 7th St Ste DUpland, CA 91786-6685 · (909) 982-4169 · Fax (909) 981-2149
Fax(909) 981-2149
Sole ProprietorNo
Enumeration DateJune 3, 2015
Last NPPES UpdateJanuary 12, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2021
NPI 1144600289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in CA · 105586
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Also ListedDentistTaxonomy 122300000X · License DS041118 (PA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 3902000000X (PA)
250 E 7TH ST STE D, Upland, CA 91786

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Periodontics)
250 E 7TH ST STE D
UPLAND, CA 91786
Clinic/Center (Dental)
250 E 7TH ST STE D
UPLAND, CA 91786
Dentist (Periodontics)
250 E 7TH ST STE D
UPLAND, CA 91786

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shadie Azar's NPI number?

The NPI number for Shadie Azar is 1144600289. It was assigned to this individual provider in the NPPES registry on June 3, 2015.

Where is Shadie Azar located?

Shadie Azar practices at 250 E 7th St Ste D, Upland, CA 91786. The listed phone number is (951) 316-3384.

What is Shadie Azar's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Shadie Azar accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Renaissance Dental list Shadie Azar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shadie Azar was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.