Individual provider Active NPI

Elizabeth Ann Naber, DDS

  • Dentist
  • Washington, DC
National Provider Identifier
1972882843
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1001040 Issued in DC
Practice address
1234 19TH St NW
Suite 710
Washington, DC 20036-2407
Phone
(202) 783-3450
Fax
(202) 785-7337
NPI assigned
Aug 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D0969 SD
Dentist 122300000X 1001040 DC Primary

Addresses

Primary practice location

1234 19TH St NW
Suite 710
Washington, DC 20036-2407

Mailing address

1234 19TH St NW
Suite 710
Washington, DC 20036-2407
Phone (202) 783-3450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160408001044 SD Order and Referring Only - DentistPractitioner - Dentist 5193023083

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1001040DCMDDentist
D0969SDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Nadine Soga DMD Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1972882843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 19TH ST NW",
            "address_2": "SUITE 710",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200362407",
            "telephone_number": "202-783-3450",
            "fax_number": "202-785-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 19TH ST NW",
            "address_2": "SUITE 710",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200362407",
            "telephone_number": "202-783-3450",
            "fax_number": "202-785-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NABER",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SD",
            "license": "D0969",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "1001040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.