Shayla Calhoun, DDS
Individual provider Active NPI General Practice Dentistry · Washington, DC
NPI 1457020109 · NPPES record last updated Mar 6, 2023
Key facts
- NPI
- 1457020109
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DEN2000200 (DC)
- Practice address
- 1251 B Saratoga Avene
Washington, DC 20032-4542 - Phone
- (202) 469-4699
- NPI assigned
- Sep 7, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230413002323 | DC | Practitioner - Dentist | 2365817897 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN200020 | DC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unity Health Care, Inc. | Current |
Accepting new patients | |
| Unity Health Care Inc. | Current |
Accepting new patients |
Locations
1100 New Jersey Ave SE
Ste 500
Washington, DC 20003
Phone (202) 279-1817
1251B Saratoga Ave NE
Washington, DC 20018
Phone (202) 832-8818
1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN200020 | DC | |
| General Practice Dentistry | 1223G0001X | DEN2000200 | DC | Yes |
Addresses
Primary practice location
1251 B Saratoga Avene
Washington, DC 20032-4542
Mailing address
1100 New Jersey Ave SE Ste 500
Washington, DC 20003-3326
Phone (024) 694-6992
Other providers in Washington, DC
- Holly Jane Wilde Calhoun
- Keith James Calhoun
- Lavaia Calhoun
- Michael James Calhoun
- Sharon Calhoun
- Tomani Calhoun
- Tomekia Rochelle Calhoun
- Tyane Marcia Calhoun
- Nadia Calix
- Atemnkeng Calixtus
All providers in Washington, DC · General Practice Dentistry in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.