NPIMap

Organization Active NPI

Carol a Blake, DDS, PLLC

  • Dentist
  • Washington, DC
National Provider Identifier
1679914782
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5133 Issued in DC
Legal business name
CAROL A BLAKE, DDS, PLLC
Practice address
5225 Wisconsin Ave NW
Suite 511
Washington, DC 20015-2014
Phone
(202) 966-0620
Fax
(202) 966-1509
NPI assigned
Jul 17, 2013
Last updated
Jul 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Authorized official

Name
Dr. Carol A Blake, DDSNPI 1366765794
Title
Owner/Dentist
Phone
(202) 966-0620

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5133 DC Primary

Addresses

Primary practice location

5225 Wisconsin Ave NW
Suite 511
Washington, DC 20015-2014

Mailing address

5225 Wisconsin Ave NW
Suite 511
Washington, DC 20015-2014
Phone (202) 966-0620

National Provider Directory

National Provider Directory

Locations

5225 Wisconsin Ave NW
Ste 511
Washington, DC 20015
Phone (202) 966-0620

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1679914782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 WISCONSIN AVE NW",
            "address_2": "SUITE 511",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152014",
            "telephone_number": "202-966-0620",
            "fax_number": "202-966-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 WISCONSIN AVE NW",
            "address_2": "SUITE 511",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152014",
            "telephone_number": "202-966-0620",
            "fax_number": "202-966-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL A BLAKE, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "202-966-0620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "5133",
            "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 Jul 17, 2013; 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.