Keith Polizois, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN20643 Issued in FL

Practice address

50 Irving St NW
Washington DC Vamc
Washington, DC 20422

Phone

(202) 745-8000

Fax

(202) 745-8402

NPI assigned

Apr 20, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1275920175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 14TH ST NW",
            "address_2": "APT 506",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200093708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 IRVING ST NW",
            "address_2": "WASHINGTON DC VAMC",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20422",
            "telephone_number": "202-745-8000",
            "fax_number": "202-745-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLIZOIS",
        "first_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie E. Polinger, PSY.D.
• Karen Polis
• Nicholas George Polis, MD
• Grace Concetta Polistina, LGSW
• Lauren Ashley Polivka, D.P.T.
• Celeste Polk-Coverdell
• Katrina Polk, AA, BA, MPA & PH.D.
• Megan Poll, PT, DPT, OCS
• Michelle L Pollack, P.A.-C.
• Murray M Pollack, MD

• Dentist in Washington, DC
• Providers in Washington, DC by specialty
• Dentist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.