Individual provider Active NPI

Yelena Obholz, D.D.S.

  • General Practice Dentistry
  • Washington, DC
National Provider Identifier
1174928261
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN1000-520 Issued in DC
Practice address
5101 Wisconsin Ave NW Ste 107
Washington, DC 20016-4136
Phone
(202) 364-8989
NPI assigned
Oct 31, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN1000-520 DC Primary

Addresses

Primary practice location

5101 Wisconsin Ave NW Ste 107
Washington, DC 20016-4136

Mailing address

5101 Wisconsin Ave NW Ste 107
Washington, DC 20016-4136
Phone (202) 364-8989

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

LicenseStateTypeSpecialty
DEN1000-520DCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Yelena Obholz DDS III LLC Current Accepting new patients
Yelena Obholz, D.D.S., P.L.L.C. General Practice CurrentSince Apr 16, 2023 Accepting new patients
Yelena Obholz DDS II PLLC Current Accepting new patients

Locations

5101 Wisconsin Ave NW
Ste 107
Washington, DC 20016
Phone (202) 364-8989

3201 New Mexico Ave NW
Ste 230
Washington, DC 20016
Phone (202) 966-7133

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1174928261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 WISCONSIN AVE NW STE 107",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164136",
            "telephone_number": "202-364-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 WISCONSIN AVE NW STE 107",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164136",
            "telephone_number": "202-364-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBHOLZ",
        "first_name": "YELENA",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-31",
        "last_updated": "2023-04-14",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN1000-520",
            "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 Apr 14, 2023; 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.