Presidential Pediatric Dentistry & Orthodontics

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DEN1001643 Issued in DC

Legal business name

PRESIDENTIAL PEDIATRIC DENTISTRY & ORTHODONTICS

Practice address

350 Eastern Ave NE
Washington, DC 20019-2833

Phone

(202) 248-6288

Fax

(202) 248-6330

NPI assigned

May 4, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Kidanemariam Rozario

Title

Practice Manager

Phone

(202) 248-6288

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Presidential Pediatric Dentistry and Orthodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Presidential Pediatric Dentistry and Orthodontics LLC

  dba Presidential Pediatric Dentistry and Orthodontics

  • Pediatric Dentistry
  • Washington, DC
  • NPI 1326597113
  NPD tax ID

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1114453610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 EASTERN AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200192833",
            "telephone_number": "202-248-6288",
            "fax_number": "202-248-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 EASTERN AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200192833",
            "telephone_number": "202-248-6288",
            "fax_number": "202-248-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESIDENTIAL PEDIATRIC DENTISTRY & ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-04",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "ROZARIO",
        "authorized_official_first_name": "KIDANEMARIAM",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "202-248-6288",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "DC",
            "license": "DEN1001643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058025400",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prep
• Neal L Presant, M.D.
• Allison Prescott, NBC-HWC, MBA
• Vonniece Prescott
• Presidential Healthcare Center
• Presidential Pediatric Dentistry and Orthodontics LLC (Presidential Pediatric Dentistry and Orthodontics)
• Donna Angela Preskill, M.S., CF-SLP
• Reva B Press
• Dominique Pressey, DBH
• Pressley Ridge

• Pediatric Dentistry in Washington, DC
• Providers in Washington, DC by specialty
• Pediatric Dentistry in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.