Tadasha Earsell Culbreath, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401414724 Issued in VA

Practice address

4480 King St
Alexandria, VA 22302-1300

Phone

(703) 535-5568

Fax

(703) 535-1583

NPI assigned

Apr 8, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1154717049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 KING ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021300",
            "telephone_number": "703-535-5568",
            "fax_number": "703-535-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 KING ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021300",
            "telephone_number": "703-535-5568",
            "fax_number": "703-535-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULBREATH",
        "first_name": "TADASHA",
        "middle_name": "EARSELL",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-08",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401414724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Cudiamat
• William Cuffee
• Leslie Larsen Cuiper, MD
• Norina Cukon-Lyons, FNP-BC
• Jami Culbertson
• Claire Hope Culbreth, BSN, RN
• Sandy Cullins
• Cultivated Touches LLC
• Lisa L Culver, PT, MBA
• Makenna Cummings, MS, RDN, LDN

• General Practice Dentistry in Alexandria, VA
• Providers in Alexandria, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.