Capitol Clinical Dental Services, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DEN3652 Issued in DC

Legal business name

CAPITOL CLINICAL DENTAL SERVICES, PLLC

Practice address

2737 Devonshire PL NW Ste a
Washington, DC 20008-3479

Phone

(202) 232-1116

Fax

(202) 232-1911

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Renee Ava McCoy-Collins, D.D.S

Title

Managing Member

Phone

(202) 232-1116

Specialties & licenses 9

Addresses

Other identifiers 1

Other names 1

• Capitol Dental Doing business as

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1770601841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 DEVONSHIRE PL NW STE A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200083479",
            "telephone_number": "202-232-1116",
            "fax_number": "202-232-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 DEVONSHIRE PL NW STE A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200083479",
            "telephone_number": "202-232-1116",
            "fax_number": "202-232-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL CLINICAL DENTAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "MCCOY-COLLINS",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "AVA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "202-232-1116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN1000617",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN5724",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN1000290",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "DC",
            "license": "DEN4058",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "DC",
            "license": "DEN1000002",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "DC",
            "license": "DEN3652",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "DC",
            "license": "DEN10000380",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "DC",
            "license": "DEN1000625",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "DC",
            "license": "DEN3652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038965400",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capitol Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Capitol Cardiovascular & Thoracic Surgery Assoc. PC
• Capitol Care Medical Associates
• Capitol Care Medical Associates
• Capitol City SNF LLC
• Capitol Clinical Dental Services, PLLC
• Capitol Dentists
• Capitol Dialysis LLC
• Capitol Dialysis, LLC
• Capitol Dialysis, LLC
• Capitol Endodontics PLLC

• Dental Clinic/Center in Washington, DC
• Providers in Washington, DC by specialty
• Dental Clinic/Center in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.

Verify at the official NPI Registry.