Active NPI
Alan Kazumi Kuwabara, D.D.S.
- Pediatric Dentistry
- Washington, DC
National Provider Identifier
1720120926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DEN1000054
- Practice address
- 5028 Wisconsin Ave NW
Suite 200
Washington, DC 20016-4118 - Phone
- (202) 244-6111
- Fax
- (202) 244-6122
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DEN1000054 | DC | Primary |
Addresses
Primary practice location
5028 Wisconsin Ave NW
Suite 200
Washington, DC 20016-4118
Mailing address
6709 Surreywood LN
Bethesda, MD 20817-1550
Phone (301) 469-4966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN1000054 | DC | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720120926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6709 SURREYWOOD LN",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208171550",
"telephone_number": "301-469-4966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5028 WISCONSIN AVE NW",
"address_2": "SUITE 200",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200164118",
"telephone_number": "202-244-6111",
"fax_number": "202-244-6122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUWABARA",
"first_name": "ALAN",
"middle_name": "KAZUMI",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "DC",
"license": "DEN1000054",
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.