St. Elizabeths

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ST. ELIZABETHS

Practice address

1100 Alabama Ave SE
Washington, DC 20032-4542

Phone

(202) 299-5100

NPI assigned

Aug 12, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Bert Hall, DDS

Title

Program Director

Phone

(202) 299-5100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1891341210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 SILVER SPRING AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209105052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ALABAMA AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200324542",
            "telephone_number": "202-299-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ELIZABETHS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-12",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "BERT",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "202-299-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur C St. Andre, MD
• St. Coletta of Greater Washington
• St. Coletta of Greater Washington
• St. Coletta Public Charter School
• St. Elizabeth Hospital
• St. Helen'S Homes Inc.
• St. Helens Homes Inc.
• St. John'S Community Services-DC
• St. Joseph Healthcare LLC
• Samina St. Omer

• Dental Clinic/Center in Washington, DC
• Providers in Washington, DC by specialty
• Dental Clinic/Center in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.