NPIMap

Organization Active NPI

Children's Hospital

Doing business as Department of Dentistry

  • Pediatric Dentistry
  • Washington, DC
National Provider Identifier
1275860637
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
HFD01-0208 Issued in DC
Legal business name
CHILDREN'S HOSPITAL
Doing business as
Department of Dentistry
Practice address
111 Michigan Ave NW
Washington, DC 20010-2916
Phone
(202) 476-6706
NPI assigned
Nov 5, 2009
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Phillicia Nelson
Title
Exec Dir-Payor Financial Relations
Phone
(301) 572-6281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X HFD01-0208 DC Primary

Addresses

Primary practice location

111 Michigan Ave NW
Washington, DC 20010-2916

Mailing address

PO Box 745842
Atlanta, GA 30374-5842

Other practice location 1

1801 Mississippi Ave SE
Washington, DC 20020-6120
Phone (202) 436-3060

Other identifiers 2

IdentifierTypeStateIssuer
760664800MedicaidMD
028002700MedicaidDC

Other names 1

  • DEPARTMENT OF DENTISTRY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CNMC Clinic at Coolidge HS42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1275860637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745842",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303745842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MICHIGAN AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102916",
            "telephone_number": "202-476-6706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 Mississippi Ave SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200206120",
            "country_code": "US",
            "telephone_number": "202-436-3060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILDREN'S HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2025-09-02",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "PHILLICIA",
        "authorized_official_title_or_position": "EXEC DIR-PAYOR FINANCIAL RELATIONS",
        "authorized_official_telephone_number": "301-572-6281"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "DC",
            "license": "HFD01-0208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "760664800",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028002700",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEPARTMENT OF DENTISTRY",
            "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 Sep 2, 2025; 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.