NPIMap

Organization Active NPI

City Dental DC 703 D, PC

  • Dentist
  • Washington, DC
National Provider Identifier
1386065845
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN1000347 Issued in DC
Legal business name
CITY DENTAL DC 703 D, PC
Practice address
703 D St NW
Washington, DC 20004-2806
Phone
(202) 628-7979
NPI assigned
Dec 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Authorized official

Name
Dr. John Tsaknis, DDSNPI 1568514206
Title
President
Phone
(202) 628-7979

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DEN1000347 DC Primary

Addresses

Primary practice location

703 D St NW
Washington, DC 20004-2806

Mailing address

1221 Massachusetts Ave NW Ste 4
Washington, DC 20005-5302
Phone (202) 628-7979

National Provider Directory

National Provider Directory

Locations

703 D St NW
Washington, DC 20004
Phone (202) 628-7979

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": "1388361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1386065845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 MASSACHUSETTS AVE NW STE 4",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200055302",
            "telephone_number": "202-628-7979",
            "fax_number": "202-628-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 D ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200042806",
            "telephone_number": "202-628-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY DENTAL DC 703 D, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-30",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "TSAKNIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-628-7979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN1000347",
            "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 Jul 27, 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.