Intellectual and Developmental Disabilities Services Solutions

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

INTELLECTUAL AND DEVELOPMENTAL DISABILITIES SERVICES SOLUTIONS

Doing business as

Iddss

Practice address

712 15TH St NE
Washington, DC 20002-4508

Phone

(571) 337-5732

NPI assigned

Apr 5, 2021

Last updated

Apr 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mildred Tembunde

Title

Credentialing

Phone

(571) 337-5732

Specialties & licenses 1

Addresses

Other names 1

• IDDSS Doing business as

Locations

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1811576119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 15TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 15TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024508",
            "telephone_number": "571-337-5732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTELLECTUAL AND DEVELOPMENTAL DISABILITIES SERVICES SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "TEMBUNDE",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "571-337-5732"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IDDSS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• International Dental Assoc. Inc

• Developmental Disabilities Clinic/Center in Washington, DC
• Providers in Washington, DC by specialty
• Developmental Disabilities Clinic/Center in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.