Louis Bwana Kalombo, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DEN1001312 Issued in DC

Practice address

5473 Anne Ly LN
Alexandria, VA 22310-1878

Phone

(703) 282-8347

NPI assigned

Oct 28, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lovitrois Dental LLC

  • General Practice Dentistry
  • Washington, DC
  • NPI 1639640303
  NPD (past) Authorized official

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

{
    "created_epoch": "1382918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382918400000",
    "number": "1053749119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5473 ANNE LY LANE",
            "address_2": "ALEXANDRIA",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22310",
            "telephone_number": "703-282-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5473 ANNE LY LN",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223101878",
            "telephone_number": "703-282-8347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALOMBO",
        "first_name": "LOUIS",
        "middle_name": "BWANA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-28",
        "last_updated": "2013-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN1001312",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414224",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micah Patrick Kaiser, DO, MS
• Abdul Fatah Kakar, SA
• Nusrat Kaleem
• Kaitlyn Kalfus
• Isatu Yakatie Kaloko
• Irvin Kalugdan
• Mohammad Hadi Kamalpour-Ansari, DMD
• Francess Zainab Kamara, LPN
• Kambiz & Kamran Tavakkoli DMD PC
• Francine Kammi Kouamen

• Dentist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; 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.