Organization Active NPI

Smile Experts

  • General Practice Dentistry
  • Washington, DC
National Provider Identifier
1457944985
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SMILE EXPERTS
Practice address
1747 Pennsylvania Ave NW Ste 100
Washington, DC 20006-4604
Phone
(630) 877-4989
NPI assigned
Feb 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Authorized official

Name
Dr. Andleeb Rehman Mahmood, DDSNPI 1326423005
Title
Dentist
Phone
(630) 877-4989

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1747 Pennsylvania Ave NW Ste 100
Washington, DC 20006-4604

Mailing address

10658 Canterberry Rd
Fairfax Station, VA 22039-1924
Phone (630) 877-4989

Other identifiers 1

IdentifierTypeStateIssuer
1326423005MedicaidDC

National Provider Directory

National Provider Directory

Locations

1747 Pennsylvania Ave NW
Ste 100
Washington, DC 20006
Phone (630) 877-4989

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": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1457944985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10658 CANTERBERRY RD",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220391924",
            "telephone_number": "630-877-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 PENNSYLVANIA AVE NW STE 100",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200064604",
            "telephone_number": "630-877-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE EXPERTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "MAHMOOD",
        "authorized_official_first_name": "ANDLEEB",
        "authorized_official_middle_name": "REHMAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "630-877-4989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326423005",
            "state": "DC"
        }
    ],
    "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 Feb 16, 2021; 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.