Organization Active NPI

Washington Airway & Wellness Center, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Washington, DC
National Provider Identifier
1235786328
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
WASHINGTON AIRWAY & WELLNESS CENTER, LLC
Practice address
1625 K St NW FRNT 1
Washington, DC 20006-1610
Phone
(202) 463-2090
Fax
(202) 463-8768
NPI assigned
Aug 22, 2019
Last updated
Aug 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Authorized official

Name
Dr. Russell Wilbur Phillips, DMDNPI 1629282660
Title
Owner
Phone
(202) 463-2090

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1625 K St NW FRNT 1
Washington, DC 20006-1610

Mailing address

1625 K St NW FRNT 1
Washington, DC 20006-1610
Phone (202) 463-2090

National Provider Directory

National Provider Directory

Locations

1625 K St NW
Frnt 1
Washington, DC 20006
Phone (202) 463-2090

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1235786328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 K ST NW FRNT 1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061610",
            "telephone_number": "202-463-2090",
            "fax_number": "202-463-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 K ST NW FRNT 1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061610",
            "telephone_number": "202-463-2090",
            "fax_number": "202-463-8768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON AIRWAY & WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "WILBUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-463-2090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "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 Aug 22, 2019; 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.