Individual provider Active NPI

Peter Perry Michael, D.D.S.

  • General Practice Dentistry
  • Washington, DC
National Provider Identifier
1730286303
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN3569 Issued in DC
Practice address
5100 Connecticut Ave NW
#201
Washington, DC 20008-2002
Phone
(202) 363-1337
Fax
(202) 363-4205
NPI assigned
Sep 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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 DEN3569 DC Primary

Addresses

Primary practice location

5100 Connecticut Ave NW
#201
Washington, DC 20008-2002

Mailing address

5100 Connecticut Ave NW
#201
Washington, DC 20008-2002
Phone (202) 363-1337

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1730286303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 CONNECTICUT AVE NW",
            "address_2": "#201",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200082002",
            "telephone_number": "202-363-1337",
            "fax_number": "202-363-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 CONNECTICUT AVE NW",
            "address_2": "#201",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200082002",
            "telephone_number": "202-363-1337",
            "fax_number": "202-363-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "PETER",
        "middle_name": "PERRY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN3569",
            "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 Oct 27, 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.