Active NPI
Debra Lois Jeffries, DDS
- Pediatric Dentistry
- Washington, DC
National Provider Identifier
1932320157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DEN4371
- Practice address
- 1010 Quincy St NE
Washington, DC 20017-1738 - Phone
- (202) 584-3848
- Fax
- (202) 584-3850
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DEN4371 | DC | Primary |
| Pediatric Dentistry | 1223P0221X | 8876 | MD | |
| Pediatric Dentistry | 1223P0221X | DS023215L | PA |
Addresses
Primary practice location
1010 Quincy St NE
Washington, DC 20017-1738
Mailing address
1010 Quincy St NE
Washington, DC 20017-1738
Phone (202) 584-3848
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026896400 | Medicaid | DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN4371 | DC | MD | Pediatric Dentist |
| DS023215L | PA | MD | Pediatric Dentist |
| 8876 | MD | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554076800000",
"number": "1932320157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 QUINCY ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200171738",
"telephone_number": "202-584-3848",
"fax_number": "202-584-3850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 QUINCY ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200171738",
"telephone_number": "202-584-3848",
"fax_number": "202-584-3850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFRIES",
"first_name": "DEBRA",
"middle_name": "LOIS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2019-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "DC",
"license": "DEN4371",
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MD",
"license": "8876",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PA",
"license": "DS023215L",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "026896400",
"state": "DC"
}
],
"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 Apr 1, 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.