NPIMap

Organization Active NPI

Watergate Dental Associates Inc

  • General Practice Dentistry
  • Washington, DC
National Provider Identifier
1922284314
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WATERGATE DENTAL ASSOCIATES INC
Practice address
2506 Virginia Ave NW
Washington, DC 20037-1902
Phone
(202) 965-5400
Fax
(202) 298-7760
NPI assigned
Jan 15, 2008
Last updated
Jan 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Dr. Thomas Gluck, DMDNPI 1689714966
Title
Owner
Phone
(202) 965-5400

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: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2506 Virginia Ave NW
Washington, DC 20037-1902

Mailing address

2506 Virginia Ave NW
Washington, DC 20037-1902
Phone (202) 965-5400

National Provider Directory

National Provider Directory

Locations

2506 Virginia Ave NW
Washington, DC 20037
Phone (202) 965-5400

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1922284314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 VIRGINIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371902",
            "telephone_number": "202-965-5400",
            "fax_number": "202-298-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 VIRGINIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371902",
            "telephone_number": "202-965-5400",
            "fax_number": "202-298-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERGATE DENTAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "GLUCK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-965-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "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 Jan 15, 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.