NPIMap

Organization Active NPI

A Great Smile Dental Center LLC

  • Dentist
  • Washington, DC
National Provider Identifier
1811188014
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1000381 Issued in DC
Legal business name
A GREAT SMILE DENTAL CENTER LLC
Practice address
7826 Eastern Ave NW
Suite 301
Washington, DC 20012-1324
Phone
(202) 726-5106
NPI assigned
Aug 5, 2007
Last updated
Aug 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2007

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

Authorized official

Name
Dr. Marlene Saint Phard Shaw, DDS
Title
Dentist
Phone
(202) 726-5106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1000381 DC Primary

Addresses

Primary practice location

7826 Eastern Ave NW
Suite 301
Washington, DC 20012-1324

Mailing address

7826 Eastern Ave NW
Suite 301
Washington, DC 20012-1324
Phone (202) 726-5106

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1811188014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7826 EASTERN AVE NW",
            "address_2": "SUITE 301",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121324",
            "telephone_number": "202-726-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7826 EASTERN AVE NW",
            "address_2": "SUITE 301",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121324",
            "telephone_number": "202-726-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A GREAT SMILE DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_middle_name": "SAINT PHARD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "202-726-5106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "1000381",
            "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 5, 2007; 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.