Rakeb A Tilahun, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401416244 Issued in VA

Practice address

2837 Alabama Ave SE
Washington, DC 20020-3000

Phone

(202) 581-7600

NPI assigned

Mar 21, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Good Hope Family Dental

  • General Practice Dentistry
  • Washington, DC
  • NPI 1578735122
  NPD (past)

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

{
    "created_epoch": "1584748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584748800000",
    "number": "1861028896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8811 ROYAL DOULTON LN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312179",
            "telephone_number": "240-478-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2837 ALABAMA AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200203000",
            "telephone_number": "202-581-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17020 Jefferson Davis Hwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Dumfries",
            "state": "VA",
            "postal_code": "220262495",
            "country_code": "US",
            "telephone_number": "703-372-0697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILAHUN",
        "first_name": "RAKEB",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-21",
        "last_updated": "2020-03-21",
        "certification_date": "2020-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN1001924",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401416244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julius Tikum
• Martha Belay Tikuye
• Abeba Wondimagegnehu Tilahun
• Eshetu Tilahun
• Mili A Tilahun
• Carrelle Shaffer Tiller, LICSW
• Julia Tiller, BCBA
• Dawn Tillery
• Carrie S Tilley, CRNP
• Laura Cookman Tilley, MD

• Dentist in Washington, DC
• Providers in Washington, DC by specialty
• Dentist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2020; 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.