Active NPI
Ligia S. Requiao, D.D.S., M.S.
- Dentist
- Washington, DC
National Provider Identifier
1497093652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEM5312
- Practice address
- 4607 Connecticut Avenue, N.W.,
Suite #109
Washington, DC 20008 - Phone
- (202) 966-1272
- Fax
- (202) 364-2993
- NPI assigned
- Jan 23, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEM5312 | DC | Primary |
| Prosthodontics | 1223P0700X | DEN5312 | DC |
Addresses
Primary practice location
4607 Connecticut Avenue, N.W.,
Suite #109
Washington, DC 20008
Mailing address
4607 Connecticut Avenue, N.W.,
Suite #109
Washington, DC 20008
Phone (202) 966-1272
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEM5312 | DC | MD | Dentist |
| DEN5312 | DC | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358899200000",
"number": "1497093652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4607 CONNECTICUT AVENUE, N.W.,",
"address_2": "SUITE #109",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20008",
"telephone_number": "202-966-1272",
"fax_number": "202-364-2993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4607 CONNECTICUT AVENUE, N.W.,",
"address_2": "SUITE #109",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20008",
"telephone_number": "202-966-1272",
"fax_number": "202-364-2993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REQUIAO",
"first_name": "LIGIA",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-23",
"last_updated": "2013-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "DC",
"license": "DEM5312",
"primary": true
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "DC",
"license": "DEN5312",
"primary": false
}
],
"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 Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.