Active NPI
Illuminate Dental PLLC
- General Practice Dentistry
- Washington, DC
National Provider Identifier
1467379230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- ILLUMINATE DENTAL PLLC
- Practice address
- 2021 K St NW Ste 820
Washington, DC 20006-1003 - Phone
- (202) 545-7774
- NPI assigned
- Jul 2, 2026
- Last updated
- Oct 1, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Himanshu Mehrotra, DDS
- Title
- Owner
- Phone
- (201) 736-1647
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
2021 K St NW Ste 820
Washington, DC 20006-1003
Mailing address
2021 K St NW Ste 820
Washington, DC 20006-1003
Phone (201) 736-1647
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Washington, DC
- NPI 1023492881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790812800000",
"number": "1467379230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 K ST NW STE 820",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200061003",
"telephone_number": "201-736-1647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 K ST NW STE 820",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200061003",
"telephone_number": "202-545-7774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ILLUMINATE DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-02",
"last_updated": "2026-10-01",
"certification_date": "2026-10-01",
"status": "A",
"authorized_official_last_name": "MEHROTRA",
"authorized_official_first_name": "HIMANSHU",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-736-1647",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"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 Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.