Organization Active NPI

Goodhope Family Dental

  • Dentist
  • Oxon Hill, MD
National Provider Identifier
1699191247
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
GOODHOPE FAMILY DENTAL
Practice address
803 Southern Ave
Oxon Hill, MD 20745-3462
Phone
(301) 505-2550
Fax
(301) 505-6676
NPI assigned
Mar 6, 2014
Last updated
Mar 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

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

Authorized official

Name
Dr. Louis B Kalombo, DDS
Title
Dentist
Phone
(301) 505-2550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

803 Southern Ave
Oxon Hill, MD 20745-3462

Mailing address

2645 Naylor Rd SE
Washington, DC 20020-7255
Phone (202) 581-7600

National Provider Directory

National Provider Directory
Tax ID family
Dental Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

803 Southern Ave
Oxon Hill, MD 20745
Phone (301) 505-2550

NPI Registry JSON

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1699191247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 NAYLOR RD SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200207255",
            "telephone_number": "202-581-7600",
            "fax_number": "202-583-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 SOUTHERN AVE",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453462",
            "telephone_number": "301-505-2550",
            "fax_number": "301-505-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODHOPE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "KALOMBO",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "301-505-2550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxon Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.