Individual provider Active NPI

Ivory Latrice Hancock, DMD

  • Dentist
  • Washington, DC
National Provider Identifier
1457528960
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14183 Issued in MD
Practice address
1026 16TH Street NW
Suite 105
Washington, DC 20036-5711
Phone
(202) 737-7025
Fax
(202) 737-7027
NPI assigned
May 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14183 MD Primary

Addresses

Primary practice location

1026 16TH Street NW
Suite 105
Washington, DC 20036-5711

Mailing address

1026 16TH St NW
Suite 105
Washington, DC 20036-5715
Phone (202) 737-7025

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

LicenseStateTypeSpecialty
14183MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivory Hancock DMD,PC Current Accepting new patients
Ivory Dental Centre PC CurrentSince Jan 19, 2025 Accepting new patients

Locations

1026 16th St NW
Ste 105
Washington, DC 20036
Phone (202) 737-7025

920 Massachusetts Ave NW
Ste G10A
Washington, DC 20001
Phone (202) 621-8862

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1457528960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 16TH ST NW",
            "address_2": "SUITE 105",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365715",
            "telephone_number": "202-737-7025",
            "fax_number": "202-737-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 16TH STREET NW",
            "address_2": "SUITE 105",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365711",
            "telephone_number": "202-737-7025",
            "fax_number": "202-737-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "IVORY",
        "middle_name": "LATRICE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "14183",
            "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 Jul 23, 2012; 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.