Terrell a Waters DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN2248 Issued in DC

Legal business name

TERRELL A WATERS DDS PC

Practice address

4300 Wheeler Road SE
Washington, DC 20032-6036

Phone

(202) 562-8827

Fax

(202) 563-4160

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Terrell Anthony Waters, DDS

Title

President

Phone

(202) 562-8827

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598850448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 WHEELER ROAD SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200326036",
            "telephone_number": "202-562-8827",
            "fax_number": "202-563-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 WHEELER ROAD SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200326036",
            "telephone_number": "202-562-8827",
            "fax_number": "202-563-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRELL A WATERS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "TERRELL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-562-8827",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN2248",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "3829",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN10233",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "104664",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa S. Wilson LLC
• Aida Robert Teri
• Tericare Health Services
• Lisa M Ternes
• Kristina Terrani, MD
• Burnis Terrell
• Donna Jane Terrell, PSYD
• Gregory Michael Terrell Jr.
• Lawane Terrell
• Lekeisha Terrell, MD

• General Practice Dentistry in Washington, DC
• Providers in Washington, DC by specialty
• General Practice Dentistry in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.