Active NPI
Armin Mehdizadeh-Shrifi, DDS
- Dentist
- Philadelphia, PA
National Provider Identifier
1033957204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS045501
- Practice address
- 3223 N Broad St
Philadelphia, PA 19140-5007 - Phone
- (210) 552-2199
- NPI assigned
- Jul 19, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS045501 | PA | Primary |
| Dentist | 122300000X | 41641 | TX |
Addresses
Primary practice location
3223 N Broad St
Philadelphia, PA 19140-5007
Mailing address
3223 N Broad St
Philadelphia, PA 19140-5007
Phone (210) 552-2199
Other practice location 1
545 N Broad St
Philadelphia, PA 19123-3592
Phone (215) 874-7611
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 |
|---|---|---|---|
| DS045501 | PA | MD | Dentist |
| 41641 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775433600000",
"number": "1033957204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3223 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191405007",
"telephone_number": "210-552-2199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3223 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191405007",
"telephone_number": "210-552-2199"
}
],
"practiceLocations": [
{
"address_1": "545 N Broad St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191233592",
"country_code": "US",
"telephone_number": "215-874-7611",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEHDIZADEH-SHRIFI",
"first_name": "ARMIN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-19",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS045501",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "41641",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.