Organization Active NPI

Walter Reed National Military Medical CNTR

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Washington, DC
National Provider Identifier
1881897544
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
WALTER REED NATIONAL MILITARY MEDICAL CNTR
Practice address
The Pentagon
Corridor 8
Washington, DC 20310-0001
Phone
(703) 692-8700
NPI assigned
Jun 8, 2007
Organization subpart
Yes
Parent organization
WALTER REED NATIONAL MILITARY MEDICAL CNTRAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Authorized official

Name
Marcia Dickson
Title
Financial MGMT Analyst
Phone
(301) 295-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X Primary

Addresses

Primary practice location

The Pentagon
Corridor 8
Washington, DC 20310-0001

Mailing address

8901 Wisconsin Ave
PSC Box 509 Code 6300
Bethesda, MD 20889-5600

Other identifiers 1

IdentifierTypeStateIssuer
1639130222OtherPARENT FACILITY NPI EFFECTIVE 1 SEP 2011

Other names 1

  • PENTAGON TRI-SVC DENTAL CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Walter Reed National Military Med Center6 organizations share this tax ID, including this one
Part of
Walter Reed National Military Med Center

Other organizations with this tax ID 5

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

Locations

The Pentagon
Washington, DC 20310
Phone (301) 295-4934

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1881897544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 WISCONSIN AVE",
            "address_2": "PSC BOX 509 CODE 6300",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE PENTAGON",
            "address_2": "CORRIDOR 8",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "203100001",
            "telephone_number": "703-692-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER REED NATIONAL MILITARY MEDICAL CNTR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WALTER REED NATIONAL MILITARY MEDICAL CNTR",
        "enumeration_date": "2007-06-08",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "FINANCIAL MGMT ANALYST",
        "authorized_official_telephone_number": "301-295-6300"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARENT FACILITY NPI EFFECTIVE 1 SEP 2011",
            "identifier": "1639130222",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PENTAGON TRI-SVC DENTAL CLINIC",
            "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 May 21, 2025; 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.