Active NPI
Childrens Medical Care Center
- Pediatric Adolescent Medicine Physician
- Washington, DC
National Provider Identifier
1043517154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- MD15318
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023389900 | Medicaid | DC |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatric Adolescent Medicine Physician
- Washington, DC
- NPI 1184744526
-
- Pediatrics Physician
- Brentwood, MD
- NPI 1427196740
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
- Children's Pediatricians & Associates, LLC
- Children's Pediatricians & Associates, LLC (Childrens National Pediatricians & Associates)
- Childrens Health Center at Shaw
- Childrens Health Center at Thearc Childrens Health Project of DC
- Childrens Hospital
- Childrens National Hospital
- Childrens National Medical Center
- Childrens Pediatricians & Assoc (Childrens National Pediatricians & Associates)
- Childrens Pediatricians & Assoc (Childrens National Pediatricians & Associates)
- Janel Marzaia Childress
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.