Active NPI
Azadeh Zadmehr, DDS
- Dentist
- Stroudsburg, PA
National Provider Identifier
1376192369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS042461
- Practice address
- 1112 N 9TH St
Stroudsburg, PA 18360-1102 - Phone
- (570) 825-2370
- NPI assigned
- Sep 11, 2019
- Last updated
- Sep 11, 2019
- Sex
- Female
- 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 | DS042461 | PA | Primary |
Addresses
Primary practice location
1112 N 9TH St
Stroudsburg, PA 18360-1102
Mailing address
4 Glades Dr
Denville, NJ 07834-3836
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 |
|---|---|---|---|
| DS042461 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1376192369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 GLADES DR",
"city": "DENVILLE",
"state": "NJ",
"postal_code": "078343836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 N 9TH ST",
"city": "STROUDSBURG",
"state": "PA",
"postal_code": "183601102",
"telephone_number": "570-825-2370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZADMEHR",
"first_name": "AZADEH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-11",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS042461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.