Davidson Dental Associates, PLLC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DEN1000212 Issued in DC

Legal business name

DAVIDSON DENTAL ASSOCIATES, PLLC

Practice address

1990 K St NW
Suite 15B
Washington, DC 20006-1103

Phone

(202) 775-0022

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Wanda L Davidson, DDSNPI 1215052378

Title

Owner President

Phone

(202) 775-0022

Specialties & licenses 10

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wanda L Davidson, DDS

  • Prosthodontics
  • Washington, DC
  • NPI 1215052378
  NPD (past) Authorized official
• Rahimah Maina, DDS

  • General Practice Dentistry
  • Washington, DC
  • NPI 1730829797
  NPD (past)
• Shelly Lynn Somlar, DDS

  • Dentist
  • Washington, DC
  • NPI 1023697893
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1295850394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 K ST NW",
            "address_2": "SUITE 15B",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061103",
            "telephone_number": "202-775-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 K ST NW",
            "address_2": "SUITE 15B",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061103",
            "telephone_number": "202-775-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIDSON DENTAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "202-775-0022",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN1001472",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN1001366",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN1000390",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "DC",
            "license": "1001379",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "DC",
            "license": "DEN1001379",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN4780",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "DC",
            "license": "DEN2366",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "DC",
            "license": "DEN5224",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "DC",
            "license": "DEN1000212",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "DC",
            "license": "DEN1000967",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Panakkal David, M.D.
• Rosalie David, LMSW
• Uduak David
• Vivek David, M.D.
• Austin Grant Davids, MSOP, CPO
• Alphonzo Lowell Davidson Jr., D.D.S.
• Bruce Davidson
• Judith H Davidson, PT
• Kayla Stefanie Davidson
• Kiana Starr Davidson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.