Organization Active NPI

The Washington Dental Studio

  • General Practice Dentistry
  • Washington, DC
National Provider Identifier
1124393525
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DC5714 Issued in DC
Legal business name
THE WASHINGTON DENTAL STUDIO
Practice address
1234 19TH St NW
Suite 100
Washington, DC 20036-2407
Phone
(202) 822-0700
Fax
(202) 822-0701
NPI assigned
Mar 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Authorized official

Name
William L Ebbs, DDSNPI 1952438798
Title
Owner
Phone
(202) 822-0700

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 DC5714 DC Primary

Addresses

Primary practice location

1234 19TH St NW
Suite 100
Washington, DC 20036-2407

Mailing address

1234 19TH St NW
Suite 100
Washington, DC 20036-2407
Phone (202) 822-0700

Other identifiers 1

IdentifierTypeStateIssuer
056310600MedicaidDC

National Provider Directory

National Provider Directory

Locations

1234 19th St NW
Ste 100
Washington, DC 20036
Phone (202) 822-0700

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": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1124393525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 19TH ST NW",
            "address_2": "SUITE 100",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200362407",
            "telephone_number": "202-822-0700",
            "fax_number": "202-822-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 19TH ST NW",
            "address_2": "SUITE 100",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200362407",
            "telephone_number": "202-822-0700",
            "fax_number": "202-822-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WASHINGTON DENTAL STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "EBBS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-822-0700",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DC5714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056310600",
            "state": "DC"
        }
    ],
    "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 Mar 19, 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.