Active NPI
Elizabeth Siddons Perry-Dodson, DDS
- General Practice Dentistry
- Washington, DC
National Provider Identifier
1295724912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DEN5130
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DEN5130 | DC | MD | General Practice Dentistry |
| 10569 | MD | MD | Pediatric 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.