Individual provider Active NPI

Elizabeth Siddons Perry-Dodson, DDS

  • General Practice Dentistry
  • Washington, DC
National Provider Identifier
1295724912
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN5130 Issued in DC
Practice address
7310 Alaska Ave NW
Washington, DC 20012-1764
Phone
(202) 829-1266
Fax
(202) 726-0045
NPI assigned
Oct 14, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN5130 DC Primary
General Practice Dentistry 1223G0001X 10569 MD

Addresses

Primary practice location

7310 Alaska Ave NW
Washington, DC 20012-1764

Mailing address

7310 Alaska Ave NW
Washington, DC 20012-1764
Phone (202) 829-1266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DEN5130DCMDGeneral Practice Dentistry
10569MDMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1295724912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 ALASKA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121764",
            "telephone_number": "202-829-1266",
            "fax_number": "202-726-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 ALASKA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121764",
            "telephone_number": "202-829-1266",
            "fax_number": "202-726-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY-DODSON",
        "first_name": "ELIZABETH",
        "middle_name": "SIDDONS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN5130",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "10569",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Feb 9, 2012; 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.