Active NPI
Robert Gerard Donahue, DDS
- Dentist
- Washington, DC
National Provider Identifier
1053628073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D4572
- Practice address
- 5225 Wisconsin Ave NW
Suite 309
Washington, DC 20015-2014 - Phone
- (202) 966-4050
- Fax
- (202) 966-5046
- NPI assigned
- Sep 13, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D4572 | DC | Primary |
Addresses
Primary practice location
5225 Wisconsin Ave NW
Suite 309
Washington, DC 20015-2014
Mailing address
5225 Wisconsin Ave NW
Suite 309
Washington, DC 20015-2014
Phone (202) 966-4050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160401000634 | DC | Order and Referring Only - Oral Surgery | 8325345549 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D4572 | DC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363910400000",
"number": "1053628073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5225 WISCONSIN AVE NW",
"address_2": "SUITE 309",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200152014",
"telephone_number": "202-966-4050",
"fax_number": "202-966-5046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5225 WISCONSIN AVE NW",
"address_2": "SUITE 309",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200152014",
"telephone_number": "202-966-4050",
"fax_number": "202-966-5046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONAHUE",
"first_name": "ROBERT",
"middle_name": "GERARD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-13",
"last_updated": "2013-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "DC",
"license": "D4572",
"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 Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.