Active NPI
David Range, MD
- Otolaryngology Physician
- Washington, DC
National Provider Identifier
1427059161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD036979
- Practice address
- 2021 K St NW
210
Washington, DC 20006-1003 - Phone
- (202) 223-3560
- Fax
- (202) 223-3339
- NPI assigned
- Aug 3, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD036979 | DC | Primary |
| Otolaryngology Physician | 207Y00000X | 0101242497 | VA |
Addresses
Primary practice location
2021 K St NW
210
Washington, DC 20006-1003
Mailing address
2021 K St NW
210
Washington, DC 20006-1003
Phone (202) 223-3560
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02677847 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101242497 | VA | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291852800000",
"number": "1427059161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 K ST NW",
"address_2": "210",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200061003",
"telephone_number": "202-223-3560",
"fax_number": "202-223-3339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 K ST NW",
"address_2": "210",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200061003",
"telephone_number": "202-223-3560",
"fax_number": "202-223-3339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANGE",
"first_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-03",
"last_updated": "2010-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "DC",
"license": "MD036979",
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "VA",
"license": "0101242497",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02677847",
"state": "NY"
}
],
"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 Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.