Individual provider Active NPI

Takeisha Rochelle Presson, D.D.S.

  • General Practice Dentistry
  • Washington, DC
National Provider Identifier
1245479666
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN1000789 Issued in DC
Practice address
220 I St NE Ste 100
Washington, DC 20002-4365
Phone
(202) 827-4512
Fax
(202) 827-4547
NPI assigned
Feb 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401412877 VA
General Practice Dentistry 1223G0001X 14387 MD
General Practice Dentistry 1223G0001X DEN1000789 DC Primary

Addresses

Primary practice location

220 I St NE Ste 100
Washington, DC 20002-4365

Mailing address

220 I St NE Ste 100
Washington, DC 20002-4365
Phone (202) 297-4592

Other practice location 1

2811 Pennsylvania Ave SE
Suite 2
Washington, DC 20020-3865
Phone (202) 584-0710

Other identifiers 2

IdentifierTypeStateIssuer
026193900MedicaidMD
075593600MedicaidDC

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
0401412877VAMDDentist
DEN1000789DCMDGeneral Practice Dentistry
14387MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dimples Dental Suite, PC Dentist Past Accepting new patients
Dimples Dental Suite, PC General Practice Past Accepting new patients

Organizations & group practices 2

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": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1245479666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 I ST NE STE 100",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024365",
            "telephone_number": "202-297-4592",
            "fax_number": "202-827-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 I ST NE STE 100",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024365",
            "telephone_number": "202-827-4512",
            "fax_number": "202-827-4547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2811 Pennsylvania Ave SE",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200203865",
            "country_code": "US",
            "telephone_number": "202-584-0710",
            "fax_number": "202-575-3627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRESSON",
        "first_name": "TAKEISHA",
        "middle_name": "ROCHELLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401412877",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14387",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN1000789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026193900",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075593600",
            "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 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.

Verify at the official NPI Registry.