Individual provider Active NPI

Noelle G Dunn, D.M.D.

  • Dentist
  • Washington, DC
National Provider Identifier
1588913172
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN1001151 Issued in DC
Practice address
1712 I St NW Ste 620
Washington, DC 20006-3751
Phone
(202) 333-9322
NPI assigned
Aug 29, 2012
Last updated
Feb 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN1001151 DC Primary

Addresses

Primary practice location

1712 I St NW Ste 620
Washington, DC 20006-3751

Mailing address

4323 Argonne Dr
Fairfax, VA 22032-1406
Phone (603) 707-0798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 18, 2024 through Jun 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DEN1001151DCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Laser Dental Arts PLLC Current Accepting new patients
Dunn Dental Group PLLC CurrentSince Feb 14, 2021 Accepting new patients
Nexus Dental Partners PastSince Feb 14, 2021 Accepting new patients

Locations

1712 I St NW
Ste 620
Washington, DC 20006
Phone (202) 333-9322

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1588913172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 ARGONNE DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220321406",
            "telephone_number": "603-707-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 I ST NW STE 620",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200063751",
            "telephone_number": "202-333-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "NOELLE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN1001151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.