Organization Active NPI

K Street Orthodontic Group, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Washington, DC
National Provider Identifier
1417138884
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DEN5038 Issued in DC
Legal business name
K STREET ORTHODONTIC GROUP, PC
Practice address
3 Washington Cir NW
Suite #306
Washington, DC 20037-2356
Phone
(202) 775-0167
Fax
(202) 775-8332
NPI assigned
Nov 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Dr. Akram Hassan Shouhayib, DDS- MS
Title
Owner
Phone
(202) 775-0167

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DEN5038 DC
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X DEN5038 DC Primary

Addresses

Primary practice location

3 Washington Cir NW
Suite #306
Washington, DC 20037-2356

Mailing address

3 Washington Cir NW
Suite #306
Washington, DC 20037-2356
Phone (202) 775-0167

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1417138884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WASHINGTON CIR NW",
            "address_2": "SUITE #306",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372356",
            "telephone_number": "202-775-0167",
            "fax_number": "202-775-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WASHINGTON CIR NW",
            "address_2": "SUITE #306",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372356",
            "telephone_number": "202-775-0167",
            "fax_number": "202-775-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K STREET ORTHODONTIC GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "SHOUHAYIB",
        "authorized_official_first_name": "AKRAM",
        "authorized_official_middle_name": "HASSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-775-0167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS- MS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN5038",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "DC",
            "license": "DEN5038",
            "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 Nov 14, 2007; 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.