Organization Active NPI

Connecticut Ave Dental Implant Center

  • General Practice Dentistry
  • Washington, DC
National Provider Identifier
1295379626
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CONNECTICUT AVE DENTAL IMPLANT CENTER
Practice address
5437 Connecticut Ave NW Apt 203
Washington, DC 20015-2706
Phone
(202) 244-2616
NPI assigned
Oct 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Authorized official

Name
Dr. Leon Demont James, DDS
Title
Managing Officer
Phone
(202) 244-2616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5437 Connecticut Ave NW Apt 203
Washington, DC 20015-2706

Mailing address

5437 Connecticut Ave NW Apt 203
Washington, DC 20015-2706
Phone (202) 244-2616

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL office@connecticutavenuedentalimplantcenter.com Direct

National Provider Directory

National Provider Directory

Locations

5437 Connecticut Ave NW
Apt 203
Washington, DC 20015
Phone (202) 244-2616

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1295379626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5437 CONNECTICUT AVE NW APT 203",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152706",
            "telephone_number": "202-244-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5437 CONNECTICUT AVE NW APT 203",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152706",
            "telephone_number": "202-244-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT AVE DENTAL IMPLANT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "DEMONT",
        "authorized_official_title_or_position": "MANAGING OFFICER",
        "authorized_official_telephone_number": "202-244-2616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "office@connecticutavenuedentalimplantcenter.com",
            "affiliation": "N",
            "endpointDescription": "business",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5437 Connecticut Ave NW Apt 203",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200152706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Oct 29, 2019; 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.