NPIMap

Organization Active NPI

Capitol Hill Dental Group

  • General Practice Dentistry
  • Washington, DC
National Provider Identifier
1124380100
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3463 Issued in DC
Legal business name
CAPITOL HILL DENTAL GROUP
Practice address
412 1St St SE
2ND Floor, Rear Building
Washington, DC 20003-1804
Phone
(202) 863-1600
NPI assigned
Jun 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Authorized official

Name
Dr. Norman J Bouchard, D.D.S.NPI 1265647077
Title
Owner
Phone
(202) 863-1600

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 3463 DC Primary

Addresses

Primary practice location

412 1St St SE
2ND Floor, Rear Building
Washington, DC 20003-1804

Mailing address

412 1St St SE
2ND Floor, Rear Building
Washington, DC 20003-1804
Phone (202) 863-1600

National Provider Directory

National Provider Directory

Locations

412 1st St SE
Rear 2
Washington, DC 20003
Phone (202) 863-1600

Practitioners & affiliated clinicians

Practitioners 4

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": "1339632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1124380100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 1ST ST SE",
            "address_2": "2ND FLOOR, REAR BUILDING",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200031804",
            "telephone_number": "202-863-1600",
            "fax_number": "202-863-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 1ST ST SE",
            "address_2": "2ND FLOOR, REAR BUILDING",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200031804",
            "telephone_number": "202-863-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL HILL DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "BOUCHARD",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-863-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "3463",
            "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 Jun 14, 2012; 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.