NPIMap

Organization Active NPI

Good Hope Family Dental PLLC

  • Dentist
  • Washington, DC
National Provider Identifier
1861737561
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN1000305 Issued in DC
Legal business name
GOOD HOPE FAMILY DENTAL PLLC
Practice address
2645 Naylor Rd SE Ste 102
Washington, DC 20020-7255
Phone
(202) 581-7600
NPI assigned
Dec 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Authorized official

Name
Dereje L Bereded, DDS
Title
Owner
Phone
(202) 581-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DEN1000305 DC Primary

Addresses

Primary practice location

2645 Naylor Rd SE Ste 102
Washington, DC 20020-7255

Mailing address

2645 Naylor Rd SE Ste 102
Washington, DC 20020-7255
Phone (202) 581-7600

National Provider Directory

National Provider Directory
Tax ID family
Dental Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

2645 Naylor Rd SE
Ste 102
Washington, DC 20020
Phone (202) 581-7600

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1861737561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 NAYLOR RD SE STE 102",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200207255",
            "telephone_number": "202-581-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 NAYLOR RD SE STE 102",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200207255",
            "telephone_number": "202-581-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD HOPE FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "BEREDED",
        "authorized_official_first_name": "DEREJE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-581-7600",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN1000305",
            "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 Dec 6, 2012; 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.