Individual provider Active NPI

Asya Gyurjyan Marsh

  • General Practice Dentistry
  • Yorktown, VA
National Provider Identifier
1295211183
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401418242 Issued in VA
Practice address
113 Hampton Hwy
Yorktown, VA 23693-3510
Phone
(757) 867-8765
NPI assigned
Jul 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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 0401418242 VA Primary

Addresses

Primary practice location

113 Hampton Hwy
Yorktown, VA 23693-3510

Mailing address

113 Hampton Hwy
Yorktown, VA 23693-3510
Phone (757) 867-8765

Other practice location 1

1118 Professional Dr Ste A
Williamsburg, VA 23185-3330
Phone (757) 229-5570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180924002340 PA Practitioner - Dentist 4082965447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401418242VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Asya Marsh DMD PLLC General Practice Current Accepting new patients
Two Rivers Family and Cosmetic Dentistry General Practice PastSince Jul 16, 2023 Accepting new patients

Organizations & group practices 2

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": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1295211183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 HAMPTON HWY",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236933510",
            "telephone_number": "757-867-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 HAMPTON HWY",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236933510",
            "telephone_number": "757-867-8765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1118 Professional Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231853330",
            "country_code": "US",
            "telephone_number": "757-229-5570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSH",
        "first_name": "ASYA",
        "middle_name": "GYURJYAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401418242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown, VA

Sources for this page

Verify at the official NPI Registry.