Organization Active NPI

QSDC, LLC

  • General Practice Dentistry
  • Washington, DC
National Provider Identifier
1083073043
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN1001050 Issued in DC
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

Updated by the provider on Aug 9, 2016

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

Authorized official

Name
Dr. Phillip Oh, DDSNPI 1316220098
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
057828700MedicaidDC

Other names 1

  • Quiet 17 Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.