Lan D Duckett, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DRN5780 Issued in DC

Practice address

600 W Strett NW
Washington, DC 20059-4229

Phone

(202) 806-6100

NPI assigned

Mar 21, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lan D. Duckett DDS PC

  • General Practice Dentistry
  • Falls Church, VA
  • NPI 1164694824
  NPD (past) Authorized official
• Dentacrafters

  • General Practice Dentistry
  • Falls Church, VA
  • NPI 1609532258
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735948800000",
    "number": "1033235494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 HIDEAWAY RD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220311310",
            "telephone_number": "571-215-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W STRETT NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200594229",
            "telephone_number": "202-806-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCKETT",
        "first_name": "LAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2025-01-04",
        "certification_date": "2025-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DRN5780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thuy-Van V. Duckett-Beauford, LICSW
• Anthony Duckett
• Deatra Michelle Duckett
• Johnnie Nathaniel Duckett
• Keyonia Duckett
• Sherqin Davon Duckett
• Terri Deloris Duckett
• Lavanda Duckwilder
• Sonte B. Ducote, LGSW
• Patricia Ductan

• General Practice Dentistry in Washington, DC
• Providers in Washington, DC by specialty
• General Practice Dentistry in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.