NPIMap

Organization Active NPI

South East Dental Care PC

  • Dentist
  • Washington, DC
National Provider Identifier
1699166728
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SOUTH EAST DENTAL CARE PC
Practice address
4648 Livingston Rd SE
Washington, DC 20032-3136
Phone
(202) 422-3757
NPI assigned
Feb 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Authorized official

Name
Ashraf ChoudhuryNPI 1982850301
Title
President
Phone
(202) 422-3757

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

4648 Livingston Rd SE
Washington, DC 20032-3136

Mailing address

4648 Livingston Rd SE
Washington, DC 20032-3136
Phone (202) 422-3757

National Provider Directory

National Provider Directory

Locations

4648 Livingston Rd SE
Washington, DC 20032
Phone (202) 374-1461

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1699166728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4648 LIVINGSTON RD SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200323136",
            "telephone_number": "202-422-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4648 LIVINGSTON RD SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200323136",
            "telephone_number": "202-422-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH EAST DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "CHOUDHURY",
        "authorized_official_first_name": "ASHRAF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-422-3757"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "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 Feb 11, 2015; 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.