NPIMap

Organization Active NPI

Bereded Good Hope Dental PLLC

  • Dentist
  • Washington, DC
National Provider Identifier
1467798348
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN1000305 Issued in DC
Legal business name
BEREDED GOOD HOPE DENTAL PLLC
Practice address
2641 Naylor Road SE Ste 101
Washington, DC 20020-7255
Phone
(202) 583-1810
NPI assigned
Dec 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Authorized official

Name
Dr. Dereje L Bereded
Title
Owner
Phone
(202) 581-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DEN1000305 DC Primary

Addresses

Primary practice location

2641 Naylor Road SE Ste 101
Washington, DC 20020-7255

Mailing address

2641 Naylor Road SE Ste 101
Washington, DC 20020-7255

National Provider Directory

National Provider Directory

Locations

2641 Naylor Rd SE
Ste 101
Washington, DC 20020
Phone (202) 583-1810

NPI Registry JSON

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

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1467798348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2641 NAYLOR ROAD SE STE 101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200207255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 NAYLOR ROAD SE STE 101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200207255",
            "telephone_number": "202-583-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEREDED GOOD HOPE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-20",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "BEREDED",
        "authorized_official_first_name": "DEREJE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-581-7600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN1000305",
            "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 Dec 20, 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.