Active NPI
Shirin Azadi, DMD
- Dentist
- Camp Hill, PA
National Provider Identifier
1730861923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS044285
- Practice address
- 4004 Trindle Rd
Camp Hill, PA 17011-4242 - Phone
- (717) 737-5120
- NPI assigned
- Aug 7, 2023
- Last updated
- Aug 7, 2023
- 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 | DS044285 | PA | Primary |
Addresses
Primary practice location
4004 Trindle Rd
Camp Hill, PA 17011-4242
Mailing address
2788 Stone Gate Cir
Camp Hill, PA 17011-8049
Phone (216) 543-7714
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 |
|---|---|---|---|
| DS044285 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1730861923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2788 STONE GATE CIR",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170118049",
"telephone_number": "216-543-7714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4004 TRINDLE RD",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170114242",
"telephone_number": "717-737-5120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZADI",
"first_name": "SHIRIN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-07",
"last_updated": "2023-08-07",
"certification_date": "2023-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS044285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camp Hill, PA
- Lexi Lois Augustine, PA-C
- Adrienne Maria Avedissian, RN
- Humberto L Avila Jr.
- Deanna Ayrapetian
- Stacy Nicole Ayraud, RN
- Azizkhan Internal Medicine Associates
- Reza George Azizkhan Jr., DO
- B and D Homecare Services Inc. (B and D Homecare Services Inc. dba Home Helpers and Direct Link Office)
- B N Rheumatology Associates PLLC
- Brooke Eliza Backus
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.