Individual provider Active NPI

Janet Caroline Yasuda

  • Pediatric Dentistry
  • Washington, DC
National Provider Identifier
1619527660
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DEN2000090 Issued in DC
Practice address
3301 New Mexico Ave NW Ste 123
Washington, DC 20016-3622
Phone
(202) 350-2610
NPI assigned
Sep 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 060697 NY
Pediatric Dentistry 1223P0221X 22DI02771600 NJ
Pediatric Dentistry 1223P0221X DEN2000090 DC Primary

Addresses

Primary practice location

3301 New Mexico Ave NW Ste 123
Washington, DC 20016-3622

Mailing address

3301 New Mexico Ave NW Ste 123
Washington, DC 20016-3622
Phone (202) 350-2610

Other practice location 1

2211 Merrick Rd
Merrick, NY 11566-4752
Phone (516) 365-5439

Other practice location 2

220 Riverside Blvd
New York, NY 10069-1001
Phone (212) 810-6562

Other practice location 3

2185 Lemoine Ave
Fort Lee, NJ 07024-6036
Phone (201) 944-7636

Other practice location 4

354 Old Hook Rd
Westwood, NJ 07675-3246
Phone (201) 722-0220

Other practice location 5

263 Jericho Tpke
Floral Park, NY 11001-2146
Phone (516) 365-5439

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drjanet@districtpediatric.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DEN2000090DCMDPediatric Dentist
22DI02771600NJMDPediatric Dentist
060697NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Janet Yasuda DMD PLLC Pediatric Dentistry CurrentSince Jan 26, 2025 Accepting new patients
Kiddsmiles Pediatric Dentistry 7 PLLC Pediatric Dentistry PastSince Jul 12, 2020 Accepting new patients
Kiddsmiles Pediatric Dentistry 4 PLLC Pediatric Dentistry PastSince Sep 1, 2019 Accepting new patients

Locations

3301 New Mexico Ave NW
Ste 123
Washington, DC 20016
Phone (202) 350-2610

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1619527660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 NEW MEXICO AVE NW STE 123",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200163622",
            "telephone_number": "202-350-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 NEW MEXICO AVE NW STE 123",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200163622",
            "telephone_number": "202-350-2610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 Merrick Rd",
            "address_purpose": "LOCATION",
            "city": "Merrick",
            "state": "NY",
            "postal_code": "115664752",
            "country_code": "US",
            "telephone_number": "516-365-5439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 Riverside Blvd",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100691001",
            "country_code": "US",
            "telephone_number": "212-810-6562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2185 Lemoine Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Lee",
            "state": "NJ",
            "postal_code": "070246036",
            "country_code": "US",
            "telephone_number": "201-944-7636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "354 Old Hook Rd",
            "address_purpose": "LOCATION",
            "city": "Westwood",
            "state": "NJ",
            "postal_code": "076753246",
            "country_code": "US",
            "telephone_number": "201-722-0220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "263 Jericho Tpke",
            "address_purpose": "LOCATION",
            "city": "Floral Park",
            "state": "NY",
            "postal_code": "110012146",
            "country_code": "US",
            "telephone_number": "516-365-5439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YASUDA",
        "first_name": "JANET",
        "middle_name": "CAROLINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "060697",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI02771600",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "DC",
            "license": "DEN2000090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drjanet@districtpediatric.com",
            "affiliation": "N",
            "endpointDescription": "drjanet@districtpediatric.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3301 New Mexico Ave NW Ste 123",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200163622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 16, 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.

Verify at the official NPI Registry.