Active NPI
QSDC, LLC
- General Practice Dentistry
- Washington, DC
National Provider Identifier
1083073043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DEN1001050
- Legal business name
- QSDC, LLC
- Practice address
- 1300 2ND St NE
Suite a-1
Washington, DC 20002-3494 - Phone
- (202) 868-0220
- NPI assigned
- Feb 18, 2016
- 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
- Dr. Phillip Oh, DDS
- Title
- Dentist
- Phone
- (202) 868-0220
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DEN1001050 | DC | Primary |
Addresses
Primary practice location
1300 2ND St NE
Suite a-1
Washington, DC 20002-3494
Mailing address
26 Hanover PL NW
Washington, DC 20001-1253
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 057828700 | Medicaid | DC |
Other names 1
- Quiet 17 Dental Care
National Provider Directory
National Provider DirectoryLocations
1300 2nd St NE
Ste A1
Washington, DC 20002
Phone (202) 868-0220
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Washington, DC
- NPI 1316220098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470700800000",
"number": "1083073043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 HANOVER PL NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200011253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 2ND ST NE",
"address_2": "SUITE A-1",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200023494",
"telephone_number": "202-868-0220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QSDC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-18",
"last_updated": "2016-08-09",
"status": "A",
"authorized_official_last_name": "OH",
"authorized_official_first_name": "PHILLIP",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "202-868-0220",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "DC",
"license": "DEN1001050",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "057828700",
"state": "DC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Quiet 17 Dental Care",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.