NPIMap

Organization Active NPI

Presidential Pediatric Dentistry and Orthodontics LLC

Doing business as Presidential Pediatric Dentistry and Orthodontics

  • Pediatric Dentistry
  • Washington, DC
National Provider Identifier
1326597113
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DEN1001643 Issued in DC
Legal business name
PRESIDENTIAL PEDIATRIC DENTISTRY AND ORTHODONTICS LLC
Doing business as
Presidential Pediatric Dentistry and Orthodontics
Practice address
350 Eastern Ave NE
Washington, DC 20019-2833
Phone
(202) 248-6288
Fax
(202) 248-6330
NPI assigned
Sep 22, 2016
Last updated
Sep 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Authorized official

Name
Dr. Gaurav Agarwal, DDS, MSD
Title
Owner
Phone
(804) 564-6485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DEN1001643 DC Primary

Addresses

Primary practice location

350 Eastern Ave NE
Washington, DC 20019-2833

Mailing address

350 Eastern Ave NE
Washington, DC 20019-2833
Phone (202) 248-6288

Other names 1

  • Presidential Pediatric Dentistry and Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Presidential Pediatric Dentistry and Orthodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1326597113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 EASTERN AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200192833",
            "telephone_number": "202-248-6288",
            "fax_number": "202-248-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 EASTERN AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200192833",
            "telephone_number": "202-248-6288",
            "fax_number": "202-248-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESIDENTIAL PEDIATRIC DENTISTRY AND ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "GAURAV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-564-6485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "DC",
            "license": "DEN1001643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Presidential Pediatric Dentistry and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 22, 2016; 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.