NPIMap

Organization Active NPI

Saint Elizabeths Hospital Dental Clinic

  • Dental Clinic/Center
  • Washington, DC
National Provider Identifier
1033402136
Registry record updated May 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
HFD01-0230 Issued in DC
Legal business name
SAINT ELIZABETHS HOSPITAL DENTAL CLINIC
Practice address
1100 Alabama Ave SE
Washington, DC 20032-4540
Phone
(202) 299-5610
NPI assigned
May 23, 2011
Organization subpart
Yes
Parent organization
SAINT ELIZABETHS HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 23, 2011

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

Authorized official

Name
Dr. Patrick J Canavan, PSY.D
Title
Chief Executive Officer
Phone
(202) 299-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X HFD01-0230 DC Primary

Addresses

Primary practice location

1100 Alabama Ave SE
Washington, DC 20032-4540

Mailing address

1100 Alabama Ave SE
Washington, DC 20032-4540
Phone (202) 299-5610

National Provider Directory

National Provider Directory
Tax ID family
Commission on Mental Health4 organizations share this tax ID, including this one
Part of
Commission on Mental Health

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1100 Alabama Ave SE
Washington, DC 20032
Phone (202) 299-5000

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306108800000",
    "number": "1033402136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ALABAMA AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200324540",
            "telephone_number": "202-299-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ALABAMA AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200324540",
            "telephone_number": "202-299-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT ELIZABETHS HOSPITAL DENTAL CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT ELIZABETHS HOSPITAL",
        "enumeration_date": "2011-05-23",
        "last_updated": "2011-05-23",
        "status": "A",
        "authorized_official_last_name": "CANAVAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "202-299-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "DC",
            "license": "HFD01-0230",
            "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 May 23, 2011; 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.