NPIMap

Organization Active NPI

Comprehensive Dental Care

  • General Practice Dentistry
  • Washington, DC
National Provider Identifier
1497105100
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1000589 Issued in DC
Legal business name
COMPREHENSIVE DENTAL CARE
Practice address
1901 Pennsylvania Ave NW
Suite905
Washington, DC 20006-3405
Phone
(202) 466-3599
NPI assigned
Jun 14, 2016
Last updated
Jun 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Authorized official

Name
Dr. Michael Kostrov, DMD
Title
Doctor/Owner
Phone
(202) 466-3599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1000589 DC Primary

Addresses

Primary practice location

1901 Pennsylvania Ave NW
Suite905
Washington, DC 20006-3405

Mailing address

1901 Pennsylvania Ave NW
Suite905
Washington, DC 20006-3405
Phone (202) 466-3599

National Provider Directory

National Provider Directory

Locations

1901 Pennsylvania Ave NW
Ste 905
Washington, DC 20006
Phone (202) 223-4564

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1497105100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 PENNSYLVANIA AVE NW",
            "address_2": "SUITE905",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200063405",
            "telephone_number": "202-466-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 PENNSYLVANIA AVE NW",
            "address_2": "SUITE905",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200063405",
            "telephone_number": "202-466-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "KOSTROV",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "202-466-3599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "1000589",
            "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 Jun 14, 2016; 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.