Active NPI
Mark Justin Nunes
- Pediatric Dentistry
- Washington, DC
National Provider Identifier
1881289213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 18115
- Practice address
- 111 Michigan Ave NW
Washington, DC 20010-2916 - Phone
- (515) 745-5368
- NPI assigned
- Mar 8, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DEN2000241 | DC | |
| Pediatric Dentistry | 1223P0221X | 0401419812 | VA | |
| Pediatric Dentistry | 1223P0221X | 18115 | MD | Primary |
Addresses
Primary practice location
111 Michigan Ave NW
Washington, DC 20010-2916
Mailing address
440 Penn St NE Apt 1212
Washington, DC 20002-8394
Phone (515) 745-5368
Other practice location 1
2410 Evergreen Rd Ste 101
Gambrills, MD 21054-1979
Phone (301) 479-9003
Other practice location 2
2 Hamill Rd Ste 266
Baltimore, MD 21210-1894
Phone (301) 245-5904
Other practice location 3
8600 Snowden River Pkwy Ste 302
Columbia, MD 21045-1985
Phone (301) 381-8079
Other practice location 4
13600 Baltimore Ave Ste 200
Laurel, MD 20707-9495
Phone (301) 479-8535
Other practice location 5
9812 Falls Rd Ste 118
Potomac, MD 20854-3918
Phone (301) 250-1483
Other practice location 6
50 Olney Sandy Spring Rd Ste 100
Ashton, MD 20861-3656
Phone (301) 701-4701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN2000241 | DC | MD | Pediatric Dentist |
| 0401419812 | VA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768435200000",
"number": "1881289213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 PENN ST NE APT 1212",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200028394",
"telephone_number": "515-745-5368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MICHIGAN AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200102916",
"telephone_number": "515-745-5368"
}
],
"practiceLocations": [
{
"address_1": "2410 Evergreen Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Gambrills",
"state": "MD",
"postal_code": "210541979",
"country_code": "US",
"telephone_number": "301-479-9003",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Hamill Rd Ste 266",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212101894",
"country_code": "US",
"telephone_number": "301-245-5904",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8600 Snowden River Pkwy Ste 302",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MD",
"postal_code": "210451985",
"country_code": "US",
"telephone_number": "301-381-8079",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13600 Baltimore Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Laurel",
"state": "MD",
"postal_code": "207079495",
"country_code": "US",
"telephone_number": "301-479-8535",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9812 Falls Rd Ste 118",
"address_purpose": "LOCATION",
"city": "Potomac",
"state": "MD",
"postal_code": "208543918",
"country_code": "US",
"telephone_number": "301-250-1483",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "50 Olney Sandy Spring Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Ashton",
"state": "MD",
"postal_code": "208613656",
"country_code": "US",
"telephone_number": "301-701-4701",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NUNES",
"first_name": "MARK",
"middle_name": "JUSTIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-08",
"last_updated": "2026-01-15",
"certification_date": "2026-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "DC",
"license": "DEN2000241",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "VA",
"license": "0401419812",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MD",
"license": "18115",
"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 Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.