NPIMap

Organization Active NPI

International Dental Assoc. Inc

  • General Practice Dentistry
  • Washington, DC
National Provider Identifier
1912142886
Registry record updated Dec 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
734004056 Issued in DC
Legal business name
INTERNATIONAL DENTAL ASSOC. INC
Practice address
1209 U Street N.W
Washington, DC 20009
Phone
(202) 667-8818
Fax
(202) 667-1024
NPI assigned
Dec 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2008

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

Authorized official

Name
Dr. Edward Tippton Buford III, DDSNPI 1356639777
Title
Dentist
Phone
(202) 667-8818

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 734004056 DC Primary

Addresses

Primary practice location

1209 U Street N.W
Washington, DC 20009

Mailing address

P.O Box 8831
Silver Spring, MD 20907
Phone (202) 667-8818

National Provider Directory

National Provider Directory

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": "1228694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228694400000",
    "number": "1912142886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 8831",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20907",
            "telephone_number": "202-667-8818",
            "fax_number": "202-667-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 U STREET N.W",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20009",
            "telephone_number": "202-667-8818",
            "fax_number": "202-667-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL DENTAL ASSOC. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-08",
        "last_updated": "2008-12-08",
        "status": "A",
        "authorized_official_last_name": "BUFORD",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "TIPPTON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "202-667-8818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "734004056",
            "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 Dec 8, 2008; 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.