NPIMap

Organization Active NPI

Mint Dental Group PLLC

  • General Practice Dentistry
  • Washington, DC
National Provider Identifier
1790185809
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN1001355 Issued in DC
Legal business name
MINT DENTAL GROUP PLLC
Practice address
329 Rhode Island Ave NE
Suite a
Washington, DC 20002-6815
Phone
(202) 529-6468
Fax
(202) 529-3052
NPI assigned
Aug 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Authorized official

Name
Dr. Aliya Kassam, DDSNPI 1821420910
Title
Owner
Phone
(202) 529-6468

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DEN1001355 DC Primary

Addresses

Primary practice location

329 Rhode Island Ave NE
Suite a
Washington, DC 20002-6815

Mailing address

329 Rhode Island Ave NE
Suite a
Washington, DC 20002-6815
Phone (202) 529-6468

National Provider Directory

National Provider Directory

Locations

329 Rhode Island Ave NE
Ste A
Washington, DC 20002
Phone (202) 529-6468

Practitioners & affiliated clinicians

Practitioners 3

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": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1790185809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 RHODE ISLAND AVE NE",
            "address_2": "SUITE A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200026815",
            "telephone_number": "202-529-6468",
            "fax_number": "202-529-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 RHODE ISLAND AVE NE",
            "address_2": "SUITE A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200026815",
            "telephone_number": "202-529-6468",
            "fax_number": "202-529-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINT DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "KASSAM",
        "authorized_official_first_name": "ALIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-529-6468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN1001355",
            "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 Aug 26, 2014; 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.