Lyusya R Badishyan, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS039716 Issued in PA

Practice address

301 E City Ave
Suite G5
Bala Cynwyd, PA 19004-1708

Phone

(610) 660-9510

NPI assigned

Aug 21, 2013

Last updated

Feb 27, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Family Dental Care P.C.

  • General Practice Dentistry
  • Bala Cynwyd, PA
  • NPI 1184784860
  NPD (past)
• American Family Dentistry, P.C.

  • Dentist
  • Bala Cynwyd, PA
  • NPI 1568801249
  NPD (past)

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1063846400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COMMERCE DR",
            "address_2": "SUITE 108",
            "city": "FT WASHINGTON",
            "state": "PA",
            "postal_code": "190342714",
            "telephone_number": "215-550-7186",
            "fax_number": "215-646-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E CITY AVE",
            "address_2": "SUITE G5",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041708",
            "telephone_number": "610-660-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADISHYAN",
        "first_name": "LYUSYA",
        "middle_name": "R",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Daniel Ayres, MD
• Azure Personal Growth and Counseling, LLC
• Lucy Baber, LPC
• Marilyn Bacarella, PSY.D.
• Sharon Anne Bachman, ARNP
• Jeffrey Charles Bado, D.O.
• Manpreet Bains, OD
• Mackenzie Baker
• Bala ASC
• Bala Better Health, LLC

• Dentist in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.