NPIMap

Organization Active NPI

Dental Professional Assoc LLC

  • Dentist
  • Washington, DC
National Provider Identifier
1306911094
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN4260 Issued in DC
Legal business name
DENTAL PROFESSIONAL ASSOC LLC
Practice address
1160 Varnum Street NE
Suite 006
Washington, DC 20017-2110
Phone
(202) 269-7103
Fax
(202) 635-7145
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael F Lamb, DDS
Title
Owner
Phone
(202) 269-7103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DEN4260 DC Primary

Addresses

Primary practice location

1160 Varnum Street NE
Suite 006
Washington, DC 20017-2110

Mailing address

1160 Varnum Street NE
Suite 006
Washington, DC 20017-2110
Phone (202) 269-7103

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306911094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 VARNUM STREET NE",
            "address_2": "SUITE 006",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172110",
            "telephone_number": "202-269-7103",
            "fax_number": "202-635-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 VARNUM STREET NE",
            "address_2": "SUITE 006",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172110",
            "telephone_number": "202-269-7103",
            "fax_number": "202-635-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PROFESSIONAL ASSOC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAMB",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-269-7103",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN4260",
            "primary": true
        }
    ],
    "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 Aug 22, 2020; 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.