Organization Active NPI

Rose Park Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • Washington, DC
National Provider Identifier
1881441236
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
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

Updated by the provider on May 3, 2024

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

Authorized official

Name
Avionne Hill, DDSNPI 1619053642
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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.