Individual provider Active NPI

David Tyler Yarmark, DMD

  • General Practice Dentistry
  • Drexel Hill, PA
National Provider Identifier
1104441591
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS042935 Issued in PA
Practice address
4130 Bloomfield Ave
Drexel Hill, PA 19026-3803
Phone
(610) 284-4770
NPI assigned
Jun 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS042935 PA Primary

Addresses

Primary practice location

4130 Bloomfield Ave
Drexel Hill, PA 19026-3803

Mailing address

4130 Bloomfield Ave
Drexel Hill, PA 19026-3803
Phone (610) 284-4770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 7, 2022 through Mar 7, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS042935PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
King of Prussia Dental Associates General Practice Past Accepting new patients

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": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1104441591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 BLOOMFIELD AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190263803",
            "telephone_number": "610-284-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 BLOOMFIELD AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190263803",
            "telephone_number": "610-284-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARMARK",
        "first_name": "DAVID",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-10",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS042935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Drexel Hill, PA

Sources for this page

Verify at the official NPI Registry.