Active NPI
Paola Sofia Annoni Patel, DDS
- Dentist
- Washington, DC
National Provider Identifier
1427445113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN1001941
- Practice address
- 1426 21St St NW FL 2
Washington, DC 20036 - Phone
- (202) 332-3473
- NPI assigned
- Apr 20, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401414897 | VA | |
| Dentist | 122300000X | 16125 | MD | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | DEN1001941 | DC | Primary |
Addresses
Primary practice location
1426 21St St NW FL 2
Washington, DC 20036
Mailing address
1426 21St St NW FL 2
Washington, DC 20036-5947
Phone (202) 332-3473
Other practice location 1
1400 Irving St NW
apt #225
Washington, DC 20010-2850
Phone (727) 204-3661
Other practice location 2
1363 Beverly Rd Ste 250
Mc Lean, VA 22101-3664
Phone (703) 752-2200
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN1001941 | DC | MD | Dentist |
| 0401414897 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558396800000",
"number": "1427445113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1426 21ST ST NW FL 2",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200365947",
"telephone_number": "202-332-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1426 21ST ST NW FL 2",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20036",
"telephone_number": "202-332-3473"
}
],
"practiceLocations": [
{
"address_1": "1400 Irving St NW",
"address_2": "apt #225",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200102850",
"country_code": "US",
"telephone_number": "727-204-3661",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1363 Beverly Rd Ste 250",
"address_purpose": "LOCATION",
"city": "Mc Lean",
"state": "VA",
"postal_code": "221013664",
"country_code": "US",
"telephone_number": "703-752-2200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANNONI PATEL",
"first_name": "PAOLA",
"middle_name": "SOFIA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-20",
"last_updated": "2019-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401414897",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "16125",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "DC",
"license": "DEN1001941",
"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 May 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.