Active NPI
Dimples Dental Suite, PC
- Dentist
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN100789
- Legal business name
- DIMPLES DENTAL SUITE, PC
- Practice address
- 220 I St NE
Suite 100
Washington, DC 20002-4365 - Phone
- (202) 403-7242
- NPI assigned
- Nov 25, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Takeisha Rochelle Presson, DDS
- Title
- President
- Phone
- (202) 827-4512
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN100789 | DC | Primary |
Addresses
Primary practice location
220 I St NE
Suite 100
Washington, DC 20002-4365
Mailing address
220 I St NE
Suite 100
Washington, DC 20002-4365
Phone (202) 827-4512
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 075593600 | Medicaid | DC |
National Provider Directory
National Provider Directory- Tax ID family
- Dimples Dental Suite PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Washington, DC
- NPI 1477981926
Locations
220 I St NE
Ste 100
Washington, DC 20002
Phone (202) 403-7242
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Washington, DC
- NPI 1245479666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1516665600000",
"number": "1972046894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 I ST NE",
"address_2": "SUITE 100",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200024365",
"telephone_number": "202-827-4512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 I ST NE",
"address_2": "SUITE 100",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200024365",
"telephone_number": "202-403-7242"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIMPLES DENTAL SUITE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-25",
"last_updated": "2018-01-23",
"status": "A",
"authorized_official_last_name": "PRESSON",
"authorized_official_first_name": "TAKEISHA",
"authorized_official_middle_name": "ROCHELLE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "202-827-4512",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "DC",
"license": "DEN100789",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "075593600",
"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 Jan 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.