Active NPI
Kimberly A Erdman, RDH
- Dental Hygienist
- Washington Navy Yard, DC
National Provider Identifier
1790066066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- PHDH000164
- Practice address
- 915 N St SE
Building 175
Washington Navy Yard, DC 20374-5162 - Phone
- (202) 433-2480
- NPI assigned
- Aug 31, 2011
- Last updated
- Aug 31, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | PHDH000164 | PA | Primary |
Addresses
Primary practice location
915 N St SE
Building 175
Washington Navy Yard, DC 20374-5162
Mailing address
8320 Colesville Rd
Apt 102
Silver Spring, MD 20910-3303
Phone (570) 847-2670
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHDH000164 | PA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314748800000",
"number": "1790066066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8320 COLESVILLE RD",
"address_2": "APT 102",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209103303",
"telephone_number": "570-847-2670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 N ST SE",
"address_2": "BUILDING 175",
"city": "WASHINGTON NAVY YARD",
"state": "DC",
"postal_code": "203745162",
"telephone_number": "202-433-2480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERDMAN",
"first_name": "KIMBERLY",
"middle_name": "A",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-31",
"last_updated": "2011-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "PA",
"license": "PHDH000164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington Navy Yard, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.