Active NPI
Tomell Lemart Dubose
- Dentist
- Washington, DC
National Provider Identifier
1003067778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5980
- Practice address
- 5437 Connecticut Ave NW
203
Washington, DC 20015-2770 - Phone
- (202) 364-6550
- Fax
- (202) 364-7297
- NPI assigned
- Sep 30, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 5980 | DC | Primary |
Addresses
Primary practice location
5437 Connecticut Ave NW
203
Washington, DC 20015-2770
Mailing address
5437 Connecticut Ave NW
203
Washington, DC 20015-2770
Phone (202) 364-6550
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 |
|---|---|---|---|
| 5980 | DC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222732800000",
"number": "1003067778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5437 CONNECTICUT AVE NW",
"address_2": "203",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200152770",
"telephone_number": "202-364-6550",
"fax_number": "202-364-7297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5437 CONNECTICUT AVE NW",
"address_2": "203",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200152770",
"telephone_number": "202-364-6550",
"fax_number": "202-364-7297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBOSE",
"first_name": "TOMELL",
"middle_name": "LEMART",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-30",
"last_updated": "2008-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "DC",
"license": "5980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.