Organization Active NPI

Capital Breast Care Center

  • Community Health Clinic/Center
  • Washington, DC
National Provider Identifier
1811216583
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
82001962001 Issued in DC
Legal business name
CAPITAL BREAST CARE CENTER
Practice address
650 Pennsylvania Ave SE
Suite 230
Washington, DC 20003-4318
Phone
(202) 784-2700
Fax
(202) 784-2722
NPI assigned
May 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2010

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

Authorized official

Name
Ms. Beth Beck
Title
Executive Director
Phone
(202) 784-2707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 82001962001 DC Primary

Addresses

Primary practice location

650 Pennsylvania Ave SE
Suite 230
Washington, DC 20003-4318

Mailing address

650 Pennsylvania Ave SE
Suite 230
Washington, DC 20003-4318
Phone (202) 784-2700

Other identifiers 1

IdentifierTypeStateIssuer
025178300MedicaidDC

National Provider Directory

National Provider Directory
Tax ID family
Georgetown University P2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

650 Pennsylvania Ave SE
Ste 230
Washington, DC 20003
Phone (202) 784-2700

NPI Registry JSON

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1811216583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 PENNSYLVANIA AVE SE",
            "address_2": "SUITE 230",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200034318",
            "telephone_number": "202-784-2700",
            "fax_number": "202-784-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 PENNSYLVANIA AVE SE",
            "address_2": "SUITE 230",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200034318",
            "telephone_number": "202-784-2700",
            "fax_number": "202-784-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL BREAST CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-20",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "202-784-2707",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "DC",
            "license": "82001962001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025178300",
            "state": "DC"
        }
    ],
    "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 20, 2010; 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.