Active NPI
Maury Debber
- Pediatric Dentistry
- Washington, DC
National Provider Identifier
1669048773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 109111
- Practice address
- 600 W St NW Pediatric Dentistry
Washington, DC 20059-0001 - Phone
- (202) 806-0308
- NPI assigned
- May 29, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 109111 | CA | Primary |
Addresses
Primary practice location
600 W St NW Pediatric Dentistry
Washington, DC 20059-0001
Mailing address
7525 N Cedar Ave Ste 105
Fresno, CA 93720-2698
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
| License | State | Type | Specialty |
|---|---|---|---|
| 109111 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1669048773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7525 N CEDAR AVE STE 105",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W ST NW PEDIATRIC DENTISTRY",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200590001",
"telephone_number": "202-806-0308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBBER",
"first_name": "MAURY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-29",
"last_updated": "2023-08-21",
"certification_date": "2023-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "109111",
"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 Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.