Active NPI
John Kenton Desmarteau, MD
- Anesthesiology Physician
- Washington, DC
National Provider Identifier
1760803480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD034913
- Practice address
- 4651 Massachusetts Ave NW
Washington, DC 20016-2361 - Phone
- (202) 237-2719
- Fax
- (202) 558-6742
- NPI assigned
- Dec 23, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Medical Examiner Physician | 202C00000X | MD034913 | DC | |
| Anesthesiology Physician | 207L00000X | MD034913 | DC | Primary |
Addresses
Primary practice location
4651 Massachusetts Ave NW
Washington, DC 20016-2361
Mailing address
4651 Massachusetts Ave NW
Washington, DC 20016-2361
Phone (202) 237-2719
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD034913 | DC | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387756800000",
"number": "1760803480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4651 MASSACHUSETTS AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200162361",
"telephone_number": "202-237-2719",
"fax_number": "202-558-6742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4651 MASSACHUSETTS AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200162361",
"telephone_number": "202-237-2719",
"fax_number": "202-558-6742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESMARTEAU",
"first_name": "JOHN",
"middle_name": "KENTON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-12-23",
"last_updated": "2013-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "202C00000X",
"taxonomy_group": "",
"desc": "Independent Medical Examiner",
"state": "DC",
"license": "MD034913",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "DC",
"license": "MD034913",
"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 Dec 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.