Organization Active NPI

Kindred Dental PLLC

  • Dental Clinic/Center
  • Washington, DC
National Provider Identifier
1629597547
Registry record updated Sep 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DEN1001171 Issued in DC
Legal business name
KINDRED DENTAL PLLC
Practice address
2300 Washington PL NE
111S
Washington, DC 20018
Phone
(202) 515-8848
Fax
(202) 629-2962
NPI assigned
Sep 12, 2017
Last updated
Sep 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2017

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

Authorized official

Name
Dr. Nicolas Rafael Kindred, DDSNPI 1255641536
Title
Dentist/Owner
Phone
(202) 271-1845

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
Dental Clinic/Center 261QD0000X DEN1001171 DC Primary

Addresses

Primary practice location

2300 Washington PL NE
111S
Washington, DC 20018

Mailing address

330 Rhode Island Ave NE Apt 104
Washington, DC 20002-6830
Phone (202) 271-1845

National Provider Directory

National Provider Directory

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": "1505174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505174400000",
    "number": "1629597547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 RHODE ISLAND AVE NE APT 104",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200026830",
            "telephone_number": "202-271-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WASHINGTON PL NE",
            "address_2": "111S",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20018",
            "telephone_number": "202-515-8848",
            "fax_number": "202-629-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-12",
        "last_updated": "2017-09-12",
        "status": "A",
        "authorized_official_last_name": "KINDRED",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_middle_name": "RAFAEL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "202-271-1845",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "DC",
            "license": "DEN1001171",
            "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 Sep 12, 2017; 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.