Active NPI
Takeisha Rochelle Presson, D.D.S.
- General Practice Dentistry
- Washington, DC
National Provider Identifier
1245479666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DEN1000789
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026193900 | Medicaid | MD | |
| 075593600 | Medicaid | DC |
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 |
|---|---|---|---|
| 0401412877 | VA | MD | Dentist |
| DEN1000789 | DC | MD | General Practice Dentistry |
| 14387 | MD | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- Washington, DC
- NPI 1477981926
-
- Dentist
- Washington, DC
- NPI 1972046894
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.