Capitol Clinical Dental Services, PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DEN3652 Issued in DC

Legal business name

CAPITOL CLINICAL DENTAL SERVICES, PLLC

Practice address

2737 A Devonshire Place NW
Washington, DC 20008-1654

Phone

(202) 232-1117

Fax

(202) 232-1911

NPI assigned

Sep 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Renee Ava McCoy-Collins, DDSNPI 1679692214

Title

Managing Member

Phone

(202) 232-1117

Specialties & licenses 4

Addresses

Other names 1

• Capitol Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Renee Ava McCoy-Collins, D.D.S

  • Oral and Maxillofacial Surgery (Dentist)
  • Washington, DC
  • NPI 1679692214
  NPD (past) Authorized official

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1508014499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 A DEVONSHIRE PLACE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200081654",
            "telephone_number": "202-232-1117",
            "fax_number": "202-232-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 A DEVONSHIRE PLACE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200081654",
            "telephone_number": "202-232-1117",
            "fax_number": "202-232-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL CLINICAL DENTAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "MCCOY-COLLINS",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "AVA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "202-232-1117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN2228",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN1000290",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "DC",
            "license": "DEN3652",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "DC",
            "license": "DEN1000625",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capitol Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Capitol Breathe Free Sinus & Allergy Centers
• Capitol Cardiovascular & Thoracic Surgery Assoc. PC
• Capitol Care Medical Associates
• Capitol Care Medical Associates
• Capitol City SNF LLC
• Capitol Clinical Dental Services, PLLC
• Capitol Dentists
• Capitol Dialysis LLC
• Capitol Dialysis, LLC
• Capitol Dialysis, LLC

• Oral and Maxillofacial Surgery (Dentist) in Washington, DC
• Providers in Washington, DC by specialty
• Oral and Maxillofacial Surgery (Dentist) in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.