Derrell Washington DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DERRELL WASHINGTON DDS INC

Doing business as

Alameda Dental Studio

Practice address

2000 Ardent Way Ste 200
Alameda, CA 94501-7643

Phone

(510) 629-5100

Fax

(510) 629-6859

NPI assigned

Oct 18, 2024

Organization subpart

No

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

Authorized official

Name

Derrell Washington, DDSNPI 1255909628

Title

Owner Dentist

Phone

(317) 809-8034

Specialties & licenses 1

Addresses

Other names 1

• Alameda Dental Studio Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Derrell Washington, DDS

  • Dentist
  • Berkeley, CA
  • NPI 1255909628
  NPD Authorized official

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1669293049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 ARDENT WAY STE 200",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945017643",
            "telephone_number": "510-629-5100",
            "fax_number": "510-629-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 ARDENT WAY STE 200",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945017643",
            "telephone_number": "510-629-5100",
            "fax_number": "510-629-6859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERRELL WASHINGTON DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "DERRELL",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "317-809-8034",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alameda Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Ann D Demirdjian
• Sophia Denardo
• Denis W Drew M.D. Inc and Stephen Raskin MD Inc a Partnership
• Jennifer Dawn Dennard, BCBA
• Joanne Dephillips, M.D.
• Jacob Robert Deryck, MA
• Sunil H. Desai, MD
• Rinna Despi
• Robert I Deutsch, M.D.
• Danielle Lauren Poblete Devila

• General Practice Dentistry in Alameda, CA
• Providers in Alameda, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.