Active NPI
Clarence Everett Hammond,II, DDS
- Dentist
- Washington, DC
National Provider Identifier
1770646184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN5566
- Practice address
- 1900 Mass Ave SE
Washington, DC 20003-2542 - Phone
- (202) 548-6650
- NPI assigned
- Dec 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN5566 | DC | Primary |
Addresses
Primary practice location
1900 Mass Ave SE
Washington, DC 20003-2542
Mailing address
8203 Birdsong Dr
Ft Washington, MD 20744-1234
Phone (301) 789-1926
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160506000120 | DC | Order and Referring Only - Dentist | 7214236678 |
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": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341792000000",
"number": "1770646184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8203 BIRDSONG DR",
"city": "FT WASHINGTON",
"state": "MD",
"postal_code": "207441234",
"telephone_number": "301-789-1926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 MASS AVE SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200032542",
"telephone_number": "202-548-6650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMOND,II",
"first_name": "CLARENCE",
"middle_name": "EVERETT",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2012-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "DC",
"license": "DEN5566",
"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 Jul 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.