Individual provider Active NPI

David Levon Yenikomshian, DDS

  • General Practice Dentistry
  • Bethesda, MD
National Provider Identifier
1891966370
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7083 Issued in MD
Practice address
5272 River Rd
Suite 320
Bethesda, MD 20816-1405
Phone
(301) 986-0064
Fax
(301) 986-8749
NPI assigned
Mar 12, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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 7083 MD Primary

Addresses

Primary practice location

5272 River Rd
Suite 320
Bethesda, MD 20816-1405

Mailing address

5272 River Rd
Suite 320
Bethesda, MD 20816-1405
Phone (301) 986-0064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20151204000251 MD Order and Referring Only - DentistPractitioner - Dentist 4688974298

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1891966370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5272 RIVER RD",
            "address_2": "SUITE 320",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208161405",
            "telephone_number": "301-986-0064",
            "fax_number": "301-986-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5272 RIVER RD",
            "address_2": "SUITE 320",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208161405",
            "telephone_number": "301-986-0064",
            "fax_number": "301-986-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YENIKOMSHIAN",
        "first_name": "DAVID",
        "middle_name": "LEVON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "7083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.