Organization Active NPI

Capitol Oral, Facial & Implant Surgery PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Washington, DC
National Provider Identifier
1770082125
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
CAPITOL ORAL, FACIAL & IMPLANT SURGERY PLLC
Practice address
1325 18TH St NW Ste 203
Washington, DC 20036-6501
Phone
(202) 716-7626
NPI assigned
Feb 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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

Authorized official

Name
Dr. Thomas Shin, DMDNPI 1154687218
Title
Partner
Phone
(202) 716-7626

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

1325 18TH St NW Ste 203
Washington, DC 20036-6501

Mailing address

1325 18TH St NW Ste 203
Washington, DC 20036-6501
Phone (202) 716-7626

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518393600000",
    "number": "1770082125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 18TH ST NW STE 203",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200366501",
            "telephone_number": "202-716-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 18TH ST NW STE 203",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200366501",
            "telephone_number": "202-716-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL ORAL, FACIAL & IMPLANT SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-12",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "202-716-7626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "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 Feb 12, 2018; 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.