Active NPI
Nicholas Stelios Makrides, D.M.D, M.P.H.
- Public Health Dentistry
- Washington, DC
National Provider Identifier
1124143698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 17494
- Practice address
- 320 1St St NW
Holc BLDG, Room 1000
Washington, DC 20534-0002 - Phone
- (202) 353-4728
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 17494 | TX | Primary |
Addresses
Primary practice location
320 1St St NW
Holc BLDG, Room 1000
Washington, DC 20534-0002
Mailing address
6948 Trumpeter Swan LN
Manassas, VA 20112-3294
Phone (202) 353-4728
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 |
|---|---|---|---|
| 17494 | TX | MD | Public Health Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124143698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6948 TRUMPETER SWAN LN",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201123294",
"telephone_number": "202-353-4728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 1ST ST NW",
"address_2": "HOLC BLDG, ROOM 1000",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "205340002",
"telephone_number": "202-353-4728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAKRIDES",
"first_name": "NICHOLAS",
"middle_name": "STELIOS",
"name_prefix": "Dr.",
"credential": "D.M.D, M.P.H.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "TX",
"license": "17494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.