NPIMap

Organization Active NPI

Capital Kids Dentistry LLC

  • Pediatric Dentistry
  • Washington, DC
National Provider Identifier
1629451430
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DEN1000864 Issued in DC
Legal business name
CAPITAL KIDS DENTISTRY LLC
Practice address
4200 Wisconsin Ave NW Ste 240
Washington, DC 20016-2143
Phone
(202) 545-7200
NPI assigned
Jun 30, 2015
Last updated
Jul 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Authorized official

Name
Jessica Exelbert Rubin, DDSNPI 1326163320
Title
Owner
Phone
(202) 545-7200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X DEN1000864 DC Primary

Addresses

Primary practice location

4200 Wisconsin Ave NW Ste 240
Washington, DC 20016-2143

Mailing address

4200 Wisconsin Ave NW Ste 240
Washington, DC 20016-2143
Phone (202) 545-7200

National Provider Directory

National Provider Directory

Locations

4200 Wisconsin Ave NW
Ste 240
Washington, DC 20016
Phone (202) 545-7200

Practitioners & affiliated clinicians

Practitioners 5

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": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1629451430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 WISCONSIN AVE NW STE 240",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162143",
            "telephone_number": "202-545-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 WISCONSIN AVE NW STE 240",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162143",
            "telephone_number": "202-545-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL KIDS DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "EXELBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-545-7200",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "DC",
            "license": "DEN1000864",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 8, 2015; 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.