NPIMap

Organization Active NPI

Dr Ivan Sumitra DDS

  • Dental Clinic/Center
  • Washington, DC
National Provider Identifier
1417358722
Registry record updated Sep 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
4040 Issued in DC
Legal business name
DR IVAN SUMITRA DDS
Practice address
2430 Rhode Island Ave NE
Washington, DC 20018-2839
Phone
(202) 526-4618
NPI assigned
Sep 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2014

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

Authorized official

Name
Dr. Ivan Sumitra, DDSNPI 1578540118
Title
Owner
Phone
(202) 526-4618

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
Dental Clinic/Center 261QD0000X 4040 DC Primary

Addresses

Primary practice location

2430 Rhode Island Ave NE
Washington, DC 20018-2839

Mailing address

2430 Rhode Island Ave NE
Washington, DC 20018-2839
Phone (202) 526-4618

National Provider Directory

National Provider Directory

Locations

2430 Rhode Island Ave NE
Washington, DC 20018
Phone (202) 526-4618

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": "1410048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410048000000",
    "number": "1417358722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 RHODE ISLAND AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200182839",
            "telephone_number": "202-526-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 RHODE ISLAND AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200182839",
            "telephone_number": "202-526-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR IVAN SUMITRA DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-07",
        "last_updated": "2014-09-07",
        "status": "A",
        "authorized_official_last_name": "SUMITRA",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-526-4618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "DC",
            "license": "4040",
            "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 Sep 7, 2014; 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.