Organization Active NPI

Capitol Breathe Free Sinus & Allergy Centers

  • Otolaryngology Physician
  • Washington, DC
National Provider Identifier
1801374228
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
CAPITOL BREATHE FREE SINUS & ALLERGY CENTERS
Practice address
2021 K St NW Ste 600
Washington, DC 20006
Phone
(202) 888-8365
Fax
(833) 200-5844
NPI assigned
Jul 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2019

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

Authorized official

Name
Karen Swanson
Title
Biller
Phone
(702) 683-1727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

2021 K St NW Ste 600
Washington, DC 20006

Mailing address

2021 K St NW Ste 600
Washington, DC 20006-1051
Phone (202) 888-8365

Other practice location 1

2021 K St NW
Washington, DC 20006-1003
Phone (702) 683-1727

Other practice location 2

2021 K St NW Ste 600
Washington, DC 20006
Phone (202) 888-8365

Other identifiers 2

IdentifierTypeStateIssuer
025957016MedicaidDC
1518008580MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20201027001982 VA Part B Supplier - Clinic/Group Practice 8123369121 Receives reassigned benefits from 1 practitioner
Practice locations: Glen Allen, VA
O20220808000238 MD Part B Supplier - Clinic/Group Practice 8123369121 Receives reassigned benefits from 1 practitioner
Practice locations: Frederick, MD

National Provider Directory

National Provider Directory

Locations

2021 K St NW
Ste 600
Washington, DC 20006
Phone (202) 741-3387

4101 Cox Rd
Ste 300
Glen Allen, VA 23060
Phone (202) 423-7825

13580 Groupe Dr
Ste 404
Woodbridge, VA 22192

Practitioners & affiliated clinicians

Practitioners 7

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": "1532908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557273600000",
    "number": "1801374228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 K ST NW STE 600",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061051",
            "telephone_number": "202-888-8365",
            "fax_number": "833-200-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 K ST NW STE 600",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20006",
            "telephone_number": "202-888-8365",
            "fax_number": "833-200-5844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2021 K St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200061003",
            "country_code": "US",
            "telephone_number": "702-683-1727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2021 K St NW Ste 600",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "20006",
            "country_code": "US",
            "telephone_number": "202-888-8365",
            "fax_number": "833-200-5844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAPITOL BREATHE FREE SINUS & ALLERGY CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-30",
        "last_updated": "2019-05-08",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "702-683-1727"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025957016",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518008580",
            "state": "VA"
        }
    ],
    "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 May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.