Andrew Dormeshian, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS036490 Issued in PA

Practice address

1247 S Cedar Crest Blvd
Suite 300
Allentown, PA 18103-6298

Phone

(610) 628-1228

Fax

(610) 432-2332

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• Ada34, PA

  • Dental Clinic/Center
  • Lake Placid, FL
  • NPI 1043917610
  NPD Authorized official

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1124198486",
    "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": "267-460-4254",
            "fax_number": "215-646-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 S CEDAR CREST BLVD",
            "address_2": "SUITE 300",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036298",
            "telephone_number": "610-628-1228",
            "fax_number": "610-432-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORMESHIAN",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101383240",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elaine Donoghue, MD
• Erin Donohue
• Brett Doremus, RN, DNP
• Claire Otteni Dorfman, DO
• Lorraine M. Dorfman, PH.D.
• Emma Dorner, DPT
• Margaret E. Dorney, CRNA
• Dorneyville Pharmacy
• Brynnmarie Farrell Dorsey, C.R.N.P.
• Emma Molly May Dorsey, CNM

• General Practice Dentistry in Allentown, PA
• Providers in Allentown, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.