Active NPI
William P Mitchell Jr., DDS
- Dentist
- Washington, DC
National Provider Identifier
1679614887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3198
- Practice address
- 400 G St NE
Suite 1
Washington, DC 20002 - Phone
- (202) 546-2233
- NPI assigned
- Feb 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3198 | DC | Primary |
| Dentist | 122300000X | 6227 | MD | |
| Dentist | 122300000X | 8166 | VA |
Addresses
Primary practice location
400 G St NE
Suite 1
Washington, DC 20002
Mailing address
PO Box 297
Stafford, VA 22555
Phone (540) 657-8222
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 |
|---|---|---|---|
| 3198 | DC | MD | Dentist |
| 6227 | MD | MD | Dentist |
| 8166 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679614887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 297",
"city": "STAFFORD",
"state": "VA",
"postal_code": "22555",
"telephone_number": "540-657-8222",
"fax_number": "540-720-9088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 G ST NE",
"address_2": "SUITE 1",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20002",
"telephone_number": "202-546-2233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "WILLIAM",
"middle_name": "P",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "DC",
"license": "3198",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "6227",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "8166",
"primary": false
}
],
"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, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.