Organization Active NPI

Childrens Medical Care Center

  • Pediatric Adolescent Medicine Physician
  • Washington, DC
National Provider Identifier
1043517154
Registry record updated Feb 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
MD15318 Issued in DC
Legal business name
CHILDRENS MEDICAL CARE CENTER
Practice address
5425 14TH St NW
Washington, DC 20011-3613
Phone
(202) 829-7700
NPI assigned
Feb 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2011

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

Authorized official

Name
Mrs. Dana Saddler
Title
Admin
Phone
(202) 829-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X MD15318 DC Primary

Addresses

Primary practice location

5425 14TH St NW
Washington, DC 20011-3613

Mailing address

5425 14TH St NW
Washington, DC 20011-3613
Phone (202) 829-7700

Other identifiers 1

IdentifierTypeStateIssuer
023389900MedicaidDC

National Provider Directory

National Provider Directory

Locations

5425 14th St NW
Washington, DC 20011
Phone (202) 545-8656

4000 Mitchellville Rd
Ste 302
Bowie, MD 20716

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298592000000",
    "number": "1043517154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 14TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200113613",
            "telephone_number": "202-829-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 14TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200113613",
            "telephone_number": "202-829-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS MEDICAL CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-25",
        "last_updated": "2011-02-25",
        "status": "A",
        "authorized_official_last_name": "SADDLER",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "202-829-7700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "DC",
            "license": "MD15318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023389900",
            "state": "DC"
        }
    ],
    "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 Feb 25, 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.