Active NPI
Bruk E. Taeme, D.D.S.
- Dentist
- Washington, DC
National Provider Identifier
1154551299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS037927
- Practice address
- 701 K St NE Apt 101
Washington, DC 20002-3648 - Phone
- (202) 546-0690
- Fax
- (202) 782-3796
- NPI assigned
- Jul 23, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS037927 | PA | Primary |
Addresses
Primary practice location
701 K St NE Apt 101
Washington, DC 20002-3648
Mailing address
701 K St NE Apt 101
Washington, DC 20002-3648
Phone (202) 546-0690
Other practice location 1
U S Army Dental Activity Walter Reed
6900 Georgia Ave NW, Bldg T-20 Rm 206B
Washington, DC 20307-0001
Phone (202) 782-0988
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 |
|---|---|---|---|
| DS037927 | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yohanna | 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.
-
- Dental Clinic/Center
- Washington, DC
- NPI 1689025066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1154551299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 K ST NE APT 101",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200023648",
"telephone_number": "202-546-0690",
"fax_number": "202-782-3796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 K ST NE APT 101",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200023648",
"telephone_number": "202-546-0690",
"fax_number": "202-782-3796"
}
],
"practiceLocations": [
{
"address_1": "U S Army Dental Activity Walter Reed",
"address_2": "6900 Georgia Ave NW, Bldg T-20 Rm 206B",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "203070001",
"country_code": "US",
"telephone_number": "202-782-0988",
"fax_number": "202-782-3796",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAEME",
"first_name": "BRUK",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-23",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS037927",
"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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.