Elite Dental Takoma Park

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ELITE DENTAL TAKOMA PARK

Practice address

6925 Willow Street NW.
Suite#B106
Washington, DC 20012-2000

Phone

(202) 723-8284

Fax

(202) 882-1127

NPI assigned

Dec 13, 2012

Last updated

Jun 26, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Khalfani D Walker, DMD

Title

Owner/Dentist

Phone

(202) 723-8284

Specialties & licenses 2

Addresses

Other names 1

• Georgia Avenue Dental Center Former legal business name

Locations

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1679819098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6925 WILLOW STREET NW.",
            "address_2": "SUITE#B106",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200122000",
            "telephone_number": "202-723-8284",
            "fax_number": "202-882-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6925 WILLOW STREET NW.",
            "address_2": "SUITE#B106",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200122000",
            "telephone_number": "202-723-8284",
            "fax_number": "202-882-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DENTAL TAKOMA PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-13",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KHALFANI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "202-723-8284",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "DC",
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14525",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgia Avenue Dental Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Toni T Elias
• Sandra Elibe
• Martine Elie, PH.D. CCC-SLP
• Richard A Elion, MD
• Catherine Eliot, OTR/L
• Elite Developmental Services LLC
• Elite Healthcares Inc
• Elite Med
• Elite Medical Transit Professional LLC
• Elite Physical Therapy & Wellness Center, LLC

• Dental Clinic/Center in Washington, DC
• Providers in Washington, DC by specialty
• Dental Clinic/Center in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.