Active NPI
Rose Park Pediatric Dentistry PLLC
- Pediatric Dentistry
- Washington, DC
National Provider Identifier
1881441236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- ROSE PARK PEDIATRIC DENTISTRY PLLC
- Practice address
- 2440 M St NW Ste 315
Washington, DC 20037-1449 - Phone
- (202) 873-9696
- Fax
- (202) 816-7759
- NPI assigned
- May 3, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Avionne Hill, DDS
- Title
- Pediatric Dentist
- Phone
- (202) 873-9696
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
2440 M St NW Ste 315
Washington, DC 20037-1449
Mailing address
5200 Princetons Delight Dr
Bowie, MD 20720-6345
Phone (202) 805-9493
National Provider Directory
National Provider DirectoryLocations
2440 M St NW
Ste 315
Washington, DC 20037
Phone (202) 293-7136
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Silver Spring, MD
- NPI 1619053642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714694400000",
"number": "1881441236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 PRINCETONS DELIGHT DR",
"city": "BOWIE",
"state": "MD",
"postal_code": "207206345",
"telephone_number": "202-805-9493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2440 M ST NW STE 315",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200371449",
"telephone_number": "202-873-9696",
"fax_number": "202-816-7759"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSE PARK PEDIATRIC DENTISTRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-03",
"last_updated": "2024-05-03",
"certification_date": "2024-05-03",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "AVIONNE",
"authorized_official_title_or_position": "PEDIATRIC DENTIST",
"authorized_official_telephone_number": "202-873-9696",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"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 May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.