Organization Active NPI

Adderley Dental Group

  • Dentist
  • Washington, DC
National Provider Identifier
1588048102
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN5854 Issued in DC
Legal business name
ADDERLEY DENTAL GROUP
Practice address
7826 Eastern Ave NW Ste 202
Washington, DC 20012-1333
Phone
(202) 722-1731
Fax
(202) 722-1640
NPI assigned
Jul 14, 2015
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Toni Louise Adderley, D.D.S.NPI 1649491499
Title
Owner
Phone
(202) 722-1731

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DEN5854 DC Primary

Addresses

Primary practice location

7826 Eastern Ave NW Ste 202
Washington, DC 20012-1333

Mailing address

7826 Eastern Ave NW Ste 202
Washington, DC 20012-1333
Phone (202) 722-1731

Other identifiers 1

IdentifierTypeStateIssuer
016068700MedicaidDC

National Provider Directory

National Provider Directory

Locations

7826 Eastern Ave NW
Ste 202
Washington, DC 20012
Phone (202) 722-1731

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": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1588048102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7826 EASTERN AVE NW STE 202",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121333",
            "telephone_number": "202-722-1731",
            "fax_number": "202-722-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7826 EASTERN AVE NW STE 202",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121333",
            "telephone_number": "202-722-1731",
            "fax_number": "202-722-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDERLEY DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ADDERLEY",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-722-1731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN5854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016068700",
            "state": "DC"
        }
    ],
    "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 Jul 21, 2022; 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.