NPIMap

Organization Active NPI

JDZ 19TH Street, PLLC

Doing business as Dental Serenity

  • General Practice Dentistry
  • Washington, DC
National Provider Identifier
1255046843
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JDZ 19TH STREET, PLLC
Doing business as
Dental Serenity
Practice address
1145 19TH St NW Ste 800
Washington, DC 20036-3707
Phone
(202) 296-7455
NPI assigned
Jan 18, 2023
Last updated
Jan 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Authorized official

Name
Dr. Justin Zalewsky, DMDNPI 1669570586
Title
Owner
Phone
(216) 402-9638

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
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1145 19TH St NW Ste 800
Washington, DC 20036-3707

Mailing address

4660 Kenmore Ave Ste 300
Alexandria, VA 22304-1306
Phone (703) 823-2422

Other names 1

  • Dental Serenity Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dc@dentalserenity.com Direct

National Provider Directory

National Provider Directory

Locations

1145 19th St NW
Ste 800
Washington, DC 20036
Phone (202) 775-9630

4660 Kenmore Ave
Ste 300
Alexandria, VA 22304
Phone (703) 823-2422

Practitioners & affiliated clinicians

Practitioners 4

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": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1255046843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE STE 300",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041306",
            "telephone_number": "703-823-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 19TH ST NW STE 800",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363707",
            "telephone_number": "202-296-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDZ 19TH STREET, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "ZALEWSKY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-402-9638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dc@dentalserenity.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1145 19th St NW Ste 800",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200363707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dental Serenity",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 18, 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.