Fidel Dental Group, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DEN5886 Issued in DC

Legal business name

FIDEL DENTAL GROUP, PLLC

Practice address

4400 Jenifer St NW
Suite 335
Washington, DC 20015-2113

Phone

(202) 362-7413

NPI assigned

Jan 12, 2016

Last updated

Jan 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Juliana Benini

Title

Office Manager

Phone

(202) 362-7413

Specialties & licenses 5

Addresses

Tax ID family

Fidel Dental Group PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Friendship Dental Care

  • Pediatric Dentistry
  • Washington, DC
  • NPI 1013133974
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Arshdeep Chhina, DDS,BDS

  • General Practice Dentistry
  • Washington, DC
  • NPI 1366873002
  NPD (past)

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1912363573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 JENIFER ST NW",
            "address_2": "SUITE 335",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152113",
            "telephone_number": "202-362-7413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 JENIFER ST NW",
            "address_2": "SUITE 335",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152113",
            "telephone_number": "202-362-7413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDEL DENTAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "BENINI",
        "authorized_official_first_name": "JULIANA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "202-362-7413"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN1001296",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "DC",
            "license": "DEN5886",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "DC",
            "license": "DEN5669",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "DC",
            "license": "DEN1000570",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "DC",
            "license": "DEN1000355",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Ida Fezza, MD
• FGN Health Care Services LLC
• Racquel Isabella Fhima
• Veronique Fiati
• Angela Fiddler
• Marie N Fidelia-Lambert, MD
• Alufang Fidelis
• Wilton Fidelis, MD
• Karl Eric Field, PA
• Morris Ben Field, DO

• Pediatric Dentistry in Washington, DC
• Providers in Washington, DC by specialty
• Pediatric Dentistry in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.