Individual provider Active NPI

Ashli Cumberbatch, D.D.S.

  • General Practice Dentistry
  • Washington, DC
National Provider Identifier
1699126268
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16303 Issued in MD
Practice address
1627 Kenilworth Ave NE
Washington, DC 20019-2010
Phone
(202) 803-2340
NPI assigned
Jun 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 16303 MD Primary

Addresses

Primary practice location

1627 Kenilworth Ave NE
Washington, DC 20019-2010

Mailing address

1627 Kenilworth Ave NE
Washington, DC 20019-2010
Phone (202) 803-2340

Other practice location 1

10001 Rhode Island Ave
College Park, MD 20740-1141
Phone (301) 441-1605

Other practice location 2

7839 Eastern Avenue
Baltimore, MD 21224
Phone (443) 503-4411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180703000550 MD Order and Referring Only - DentistPractitioner - Dentist 7618223702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1699126268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 KENILWORTH AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200192010",
            "telephone_number": "202-803-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 KENILWORTH AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200192010",
            "telephone_number": "202-803-2340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10001 Rhode Island Ave",
            "address_purpose": "LOCATION",
            "city": "College Park",
            "state": "MD",
            "postal_code": "207401141",
            "country_code": "US",
            "telephone_number": "301-441-1605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7839 Eastern Avenue",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21224",
            "country_code": "US",
            "telephone_number": "443-503-4411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUMBERBATCH",
        "first_name": "ASHLI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "16303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.