Active NPI
Gloria Enjuweh, DMD
- General Practice Dentistry
- Washington, DC
National Provider Identifier
1306502802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DEN2000054
- Practice address
- 1629 K St NW
Washington, DC 20006-1602 - Phone
- (812) 416-0101
- NPI assigned
- Nov 10, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DEN2000054 | DC | Primary |
Addresses
Primary practice location
1629 K St NW
Washington, DC 20006-1602
Mailing address
15250 Siesta Key Way Apt 285
Rockville, MD 20850-5557
Phone (240) 643-3861
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://uniteddentalgroup.com/ |
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 |
|---|---|---|---|
| DEN2000054 | DC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636502400000",
"number": "1306502802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15250 SIESTA KEY WAY APT 285",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208505557",
"telephone_number": "240-643-3861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1629 K ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200061602",
"telephone_number": "812-416-0101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENJUWEH",
"first_name": "GLORIA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-10",
"last_updated": "2021-11-10",
"certification_date": "2021-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "DC",
"license": "DEN2000054",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://uniteddentalgroup.com/",
"affiliation": "N",
"address_1": "1629 K St NW",
"city": "Washington",
"state": "DC",
"country_code": "US",
"postal_code": "200061602",
"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 Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.