Organization Active NPI

Yelena Obholz DDS II PLLC

  • Periodontics
  • Washington, DC
National Provider Identifier
1467004341
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
YELENA OBHOLZ DDS II PLLC
Practice address
5101 Wisconsin Ave NW Ste 107B
Washington, DC 20016-4136
Phone
(202) 364-8209
NPI assigned
Jul 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Authorized official

Name
Yelena Obholz, DDSNPI 1174928261
Title
Managing Member
Phone
(202) 364-8989

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
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

5101 Wisconsin Ave NW Ste 107B
Washington, DC 20016-4136

Mailing address

5101 Wisconsin Ave NW Ste 107B
Washington, DC 20016-4136
Phone (202) 364-8209

Other names 1

  • Aesthetic & Family Dentistry Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

5101 Wisconsin Ave NW
Ste 107B
Washington, DC 20016
Phone (202) 364-8209

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": "1562803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1467004341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 WISCONSIN AVE NW STE 107B",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164136",
            "telephone_number": "202-364-8209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 WISCONSIN AVE NW STE 107B",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164136",
            "telephone_number": "202-364-8209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELENA OBHOLZ DDS II PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "OBHOLZ",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "202-364-8989",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aesthetic & Family Dentistry Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 11, 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.

Verify at the official NPI Registry.