Organization Active NPI

Washington Oral Surgery Center, LLC

Doing business as Oral Surgery DC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Washington, DC
National Provider Identifier
1861801805
Registry record updated Aug 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
Legal business name
WASHINGTON ORAL SURGERY CENTER, LLC
Doing business as
Oral Surgery DC
Practice address
1357 Good Hope Rd SE
Washington, DC 20020-6909
Phone
(301) 341-0041
NPI assigned
Aug 4, 2014
Last updated
Aug 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2014

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

Authorized official

Name
Ms. Madalyn Pelt
Title
Insruance Specialist
Phone
(301) 341-0041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X NU Primary

Addresses

Primary practice location

1357 Good Hope Rd SE
Washington, DC 20020-6909

Mailing address

1357 Good Hope Rd SE
Washington, DC 20020-6909
Phone (301) 341-0041

Other names 1

  • Oral Surgery DC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Oral Surgery DC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1861801805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1357 GOOD HOPE RD SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200206909",
            "telephone_number": "301-341-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 GOOD HOPE RD SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200206909",
            "telephone_number": "301-341-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON ORAL SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-04",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "PELT",
        "authorized_official_first_name": "MADALYN",
        "authorized_official_title_or_position": "INSRUANCE SPECIALIST",
        "authorized_official_telephone_number": "301-341-0041",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oral Surgery DC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 4, 2014; 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.