Gustavo N Mongelos, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5581 Issued in DC

Practice address

1800 K St NW Ste 1104
Washington, DC 20006-2235

Phone

(202) 362-1024

Fax

(202) 362-1045

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1649377839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4417 CHESTNUT LN",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208531402",
            "telephone_number": "301-213-1024",
            "fax_number": "202-362-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 K ST NW STE 1104",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200062235",
            "telephone_number": "202-362-1024",
            "fax_number": "202-362-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONGELOS",
        "first_name": "GUSTAVO",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "5581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meli Monener
• Agnes Hlompho Moneri
• Ashkan Monfared, M.D.
• Mathilde Monga Wangsi Cheuko
• Kai Lucas Mongan, MD
• Monica Riley, MD
• Hilda Monie
• Martha Enoh Monika
• Patience Monikang
• Monique Moore, PLLC

• 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 Apr 12, 2018; 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.