Misty Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MISTY DENTAL PLLC

Practice address

419 34TH St NE
Washington, DC 20019-1411

Phone

(202) 396-6100

Fax

(202) 388-0987

NPI assigned

May 21, 2015

Last updated

May 21, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Derrick Kendill Eiland, DDSNPI 1205046505

Title

Doctor/Owner

Phone

(202) 396-6100

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Derrick K Eiland, DDS

  • General Practice Dentistry
  • Washington, DC
  • NPI 1205046505
  NPD (past) Authorized official
• Noura Moussa, D.D.S

  • Dentist
  • Washington, DC
  • NPI 1629363833
  NPD (past)

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1033598131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 34TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200191411",
            "telephone_number": "202-396-6100",
            "fax_number": "202-388-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 34TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200191411",
            "telephone_number": "202-396-6100",
            "fax_number": "202-388-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISTY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-21",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "EILAND",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "KENDILL",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "202-396-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Missionary Sisters Healthcare Services
• Lebemhem Missou-Assogba
• Michael Jerry Missouri Jr.
• Allison Mistrett
• Kirtida Mistry, MB BCH, DCH, MRCPCH
• Misty Partnership
• Abyot Misura
• Debra Mitchell-Chiselom, M.ED.
• Abigail Mitchell
• Aiesha Mitchell

• Dentist in Washington, DC
• Providers in Washington, DC by specialty
• Dentist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.