NPIMap

Organization Active NPI

Elaine Ellis Center of Health

  • Dental Clinic/Center
  • Washington, DC
National Provider Identifier
1366243768
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ELAINE ELLIS CENTER OF HEALTH
Practice address
1627 Kenilworth Ave NE
Washington, DC 20019-2010
Phone
(202) 803-2340
Fax
(202) 803-2350
NPI assigned
Mar 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Authorized official

Name
Jacquelyn Renee Walker
Title
Ceo
Phone
(202) 803-2340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1627 Kenilworth Ave NE
Washington, DC 20019-2010

Mailing address

1627 Kenilworth Ave NE
Washington, DC 20019-2010
Phone (202) 803-2340

National Provider Directory

National Provider Directory
Tax ID family
Elaine Ellis Center of Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13305/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1366243768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 KENILWORTH AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200192010",
            "telephone_number": "202-803-2340",
            "fax_number": "202-803-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 KENILWORTH AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200192010",
            "telephone_number": "202-803-2340",
            "fax_number": "202-803-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAINE ELLIS CENTER OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-21",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-803-2340"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "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 Mar 21, 2025; 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.