Debonair Dental DC PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DEBONAIR DENTAL DC PLLC

Doing business as

Capitol Dental

Practice address

2737 Devonshire PL NW Ste a
Washington, DC 20008-3479

Phone

(202) 232-1116

Fax

(202) 232-1911

NPI assigned

Jun 17, 2019

Last updated

Jun 17, 2019By 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

Otis Collins

Title

Coo

Phone

(202) 232-1116

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Capitol Dental Doing business as

Locations

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1952961492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 DEVONSHIRE PL NW STE A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200083479",
            "telephone_number": "202-232-1116",
            "fax_number": "202-232-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 DEVONSHIRE PL NW STE A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200083479",
            "telephone_number": "202-232-1116",
            "fax_number": "202-232-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBONAIR DENTAL DC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "OTIS",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "202-232-1116"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH HEALTH REGULATION AND LICENSING  ADMINISTRATION BOARD OF DENTISTRY",
            "identifier": "DEN1001405",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capitol Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diana Debnam, PA-C
• Lashawn Debnam, PROSTHETIC SPECIALIS
• Berhanu Sinamo Deboch
• Thomas Deboch
• Charles Edward Deboisblanc Jr.
• Deborah Fox, P.C.
• Deborah Vaughan, Ma, LPC LLC
• Shontia Patrice Debrew
• Kidist Debrework
• Pedro Debrito

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.

Verify at the official NPI Registry.