Individual provider Active NPI

Mahira Tamboo, DMD

  • General Practice Dentistry
  • Washington, DC
National Provider Identifier
1275101099
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN2000120 Issued in DC
Practice address
1627 Kenilworth Ave NE
Washington, DC 20019-2010
Phone
(202) 803-2340
NPI assigned
Jun 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN2000120 DC Primary
Dentist 122300000X 18569 MD
General Practice Dentistry 1223G0001X 22DR03628 NJ

Addresses

Primary practice location

1627 Kenilworth Ave NE
Washington, DC 20019-2010

Mailing address

2335 Huntington Station CT
Alexandria, VA 22303-1417
Phone (732) 289-8308

Other practice location 1

10001 Rhode Island Ave
College Park, MD 20740-1141
Phone (301) 441-1605

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
I20220823002706 DC Practitioner - Dentist 0446633440 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DR03628NJMDGeneral Practice Dentistry
18569MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Health Care Inc. CurrentSince Aug 15, 2022 Accepting new patients
Unity Health Care, Inc. CurrentSince Aug 15, 2022 Accepting new patients

Locations

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

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

1251B Saratoga Ave NE
Washington, DC 20018
Phone (202) 832-8818

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": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1275101099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 HUNTINGTON STATION CT",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223031417",
            "telephone_number": "732-289-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 KENILWORTH AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200192010",
            "telephone_number": "202-803-2340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10001 Rhode Island Ave",
            "address_purpose": "LOCATION",
            "city": "College Park",
            "state": "MD",
            "postal_code": "207401141",
            "country_code": "US",
            "telephone_number": "301-441-1605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAMBOO",
        "first_name": "MAHIRA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN2000120",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "18569",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DR03628",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.