Individual provider Active NPI

Nafisa Fairuz Chowdhury, DDS

  • General Practice Dentistry
  • Washington, DC
National Provider Identifier
1245995901
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN0000076 Issued in DC
Practice address
765 Kenilworth Ter NE
Washington, DC 20019-1898
Phone
(202) 839-7972
NPI assigned
Nov 7, 2021
Last updated
May 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 17685 MD
General Practice Dentistry 1223G0001X DEN0000076 DC Primary

Addresses

Primary practice location

765 Kenilworth Ter NE
Washington, DC 20019-1898

Mailing address

765 Kenilworth Ter NE
Washington, DC 20019-1898
Phone (202) 469-4699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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

Enrollment IDStateProvider typePAC IDDetails
I20220411000781 DC Practitioner - Dentist 9234525742 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN0000076DCMDGeneral Practice Dentistry
17685MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Health Care, Inc. CurrentSince Mar 28, 2022 Accepting new patients
Unity Health Care Inc. CurrentSince Mar 28, 2022 Accepting new patients

Locations

1100 New Jersey Ave SE
Ste 500
Washington, DC 20003
Phone (202) 279-1817

1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000

3020 14th St NW
Washington, DC 20009
Phone (202) 745-4300

765 Kenilworth Ter NE
Washington, DC 20019
Phone (202) 388-8160

Interoperability endpoints

  • Direct secure messaging: nafisa.chowdhury@uhci.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1636243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1245995901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 KENILWORTH TER NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200191898",
            "telephone_number": "202-469-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 KENILWORTH TER NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200191898",
            "telephone_number": "202-839-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOWDHURY",
        "first_name": "NAFISA",
        "middle_name": "FAIRUZ",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-07",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "17685",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN0000076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.