Active NPI
Columbia River Dental, P.C.
Doing business as Pine Dentistry
- General Practice Dentistry
- Washington, DC
National Provider Identifier
1558549899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- COLUMBIA RIVER DENTAL, P.C.
- Doing business as
- Pine Dentistry
- Practice address
- 1531 Maryland Ave NE
Washington, DC 20002-7604 - Phone
- (770) 916-5028
- NPI assigned
- Feb 8, 2008
- 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
- Gail Darden
- Title
- Director of Payor Relations
- Phone
- (770) 916-8143
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | |||
| General Practice Dentistry | 1223G0001X | Primary | ||
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X |
Addresses
Primary practice location
1531 Maryland Ave NE
Washington, DC 20002-7604
Mailing address
210 Interstate North Pkwy SE Ste 300
Atlanta, GA 30339-2233
Phone (770) 916-8143
Other names 1
- Pine Dentistry
National Provider Directory
National Provider DirectoryLocations
1531 Maryland Ave NE
Washington, DC 20002
Phone (202) 470-5873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756771200000",
"number": "1558549899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 INTERSTATE NORTH PKWY SE STE 300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303392233",
"telephone_number": "770-916-8143",
"fax_number": "770-858-0657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1531 MARYLAND AVE NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200027604",
"telephone_number": "770-916-5028"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLUMBIA RIVER DENTAL, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-08",
"last_updated": "2025-09-02",
"certification_date": "2024-02-20",
"status": "A",
"authorized_official_last_name": "DARDEN",
"authorized_official_first_name": "GAIL",
"authorized_official_title_or_position": "DIRECTOR OF PAYOR RELATIONS",
"authorized_official_telephone_number": "770-916-8143"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223S0112X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pine Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.