Candace Emile Mitchell, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN3906 Issued in DC

Practice address

121 S St NW
Washington, DC 20001-1129

Phone

(202) 462-8752

Fax

(202) 667-0355

NPI assigned

Jan 14, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1730365230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200011129",
            "telephone_number": "202-462-8752",
            "fax_number": "202-667-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200011129",
            "telephone_number": "202-462-8752",
            "fax_number": "202-667-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "CANDACE",
        "middle_name": "EMILE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN3906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0168791 00",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia S Mitchell, HHA
• Andrew Mitchell
• Angel Marie Mitchell
• Ashlyn Mitchell, PSYD
• Billie Jo Richardson Mitchell, PHARMD, BCPPS
• Carlton Mitchell
• Carolyn Denise Mitchell
• Catherine Mitchell, LICSW
• Crystia Mitchell
• Cynthia M Mitchell

• General Practice Dentistry in Washington, DC
• Providers in Washington, DC by specialty
• General Practice Dentistry in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.