NPIMap

Organization Active NPI

Smile Services DC PLLC

  • General Practice Dentistry
  • Washington, DC
National Provider Identifier
1922499730
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN1001057 Issued in DC
Legal business name
SMILE SERVICES DC PLLC
Practice address
2415 Benning Rd NE
Washington, DC 20002-4827
Phone
(202) 396-9679
NPI assigned
Feb 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

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

Authorized official

Name
Dr. Albert Augustus Coombs III, DMDNPI 1538443221
Title
Dentist/Owner
Phone
(617) 828-6512

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 DEN1001057 DC Primary

Addresses

Primary practice location

2415 Benning Rd NE
Washington, DC 20002-4827

Mailing address

2415 Benning Rd NE
Washington, DC 20002-4827
Phone (202) 396-9679

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1424044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424044800000",
    "number": "1922499730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 BENNING RD NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024827",
            "telephone_number": "202-396-9679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 BENNING RD NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024827",
            "telephone_number": "202-396-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE SERVICES DC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-16",
        "last_updated": "2015-02-16",
        "status": "A",
        "authorized_official_last_name": "COOMBS",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "AUGUSTUS",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "617-828-6512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN1001057",
            "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 Feb 16, 2015; 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.