Active NPI
Avraham Jacob Peretz, DDS
- Dentist
- Washington, DC
National Provider Identifier
1114988169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN5945
- Practice address
- 4400 Macarthur Blvd NW
Ste #200
Washington, DC 20007 - Phone
- (202) 333-0003
- Fax
- (202) 333-0003
- NPI assigned
- Mar 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN5945 | DC | Primary |
| Dentist | 122300000X | 12144 | MD | |
| Dentist | 122300000X | DS030332L | PA |
Addresses
Primary practice location
4400 Macarthur Blvd NW
Ste #200
Washington, DC 20007
Mailing address
4400 Macarthur Blvd NW
Ste #200
Washington, DC 20007
Phone (202) 333-0003
Other names 1
- Aj Peretz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN5945 | DC | MD | Dentist |
| DS030332L | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DC Southern Dental PPO PC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1114988169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 MACARTHUR BLVD NW",
"address_2": "STE #200",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20007",
"telephone_number": "202-333-0003",
"fax_number": "202-333-0003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 MACARTHUR BLVD NW",
"address_2": "STE #200",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20007",
"telephone_number": "202-333-0003",
"fax_number": "202-333-0003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERETZ",
"first_name": "AVRAHAM",
"middle_name": "JACOB",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-30",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "DC",
"license": "DEN5945",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "12144",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS030332L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AJ",
"last_name": "PERETZ",
"code": "5",
"type": "Other Name"
}
]
}
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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.