Active NPI
David Azizyan
- Dentist
- King of Prussia, PA
National Provider Identifier
1104342161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS041500
- Practice address
- 700 S Henderson Rd Ste 306
King of Prussia, PA 19406-4208 - Phone
- (484) 685-3933
- NPI assigned
- Aug 21, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS041500 | PA | Primary |
Addresses
Primary practice location
700 S Henderson Rd Ste 306
King of Prussia, PA 19406-4208
Mailing address
1605 Mulberry Rd
Flourtown, PA 19031-2220
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 |
|---|---|---|---|
| DS041500 | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amid Dentistry LLC | Current | Accepting new patients |
Locations
700 S Henderson Rd
Ste 306
Kng of Prussa, PA 19406
Phone (484) 685-3933
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1104342161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 MULBERRY RD",
"city": "FLOURTOWN",
"state": "PA",
"postal_code": "190312220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S HENDERSON RD STE 306",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194064208",
"telephone_number": "484-685-3933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZIZYAN",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-21",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS041500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in King of Prussia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.