PREMIERE ORTHO-PEDO PLLC (NPI# 1003234360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003234360 |
| Entity Type | Organization |
| Organization Name | PREMIERE ORTHO-PEDO PLLC |
| Practice Address |
6323 Georgia Ave Nw Suite 201 Washington DC 20011-1101 |
| Practice Telephone | 2027230150 |
| Practice Fax Number | 4105420211 |
| Mailing Telephone | 2027230150 |
| Mailing Fax Number | 4105420211 |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-04-03 |
| Authorized Official Name | DR. MARVIN NGWAFON (OWNER) |
| Authorized Official Telephone | 2025500633 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DEN1001349 | DC | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DEN1000997 | DC | Dental Providers |
| Street Address |
6323 GEORGIA AVE NW SUITE 201 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20011-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760428692 | Pof Inc | Clinic/Center | 6323 Georgia Ave Nw, Suite 200, Washington, DC 20011-1101 | 2006-06-20 |
| 1780167635 | Kelly Achoh Mukum | Home Health Aide | 6323 Georgia Ave Nw, Washington, DC 20011-1101 | 2018-09-06 |
| 1194224592 | Genevieve Macheguia Tamo | Home Health Aide | 6323 Georgia Ave Nw, Washington, DC 20011-1101 | 2018-02-12 |
| 1730687849 | Ruth Birhanu | Home Health Aide | 6323 Georgia Ave Nw, Washington, DC 20011-1101 | 2018-01-24 |
| 1669970752 | Alexander Chatendem Nkwettoh | Home Health Aide | 6323 Georgia Ave Nw, Washington, DC 20011-1101 | 2018-01-24 |
| 1629576723 | Michel Frank Nguea Mpondo | Home Health Aide | 6323 Georgia Ave Nw, Washington, DC 20011-1101 | 2018-01-24 |
| 1588162689 | Daniel Nguatem Nkeng | Home Health Aide | 6323 Georgia Ave Nw, Washington, DC 20011-1101 | 2018-01-24 |
| 1144738386 | Jamie Nji Ngang | Home Health Aide | 6323 Georgia Ave Nw, Washington, DC 20011-1101 | 2018-01-22 |
| 1871001065 | Christina Wargwing Muma | Home Health Aide | 6323 Georgia Ave Nw, Washington, DC 20011-1101 | 2018-01-22 |
| 1881102283 | Hepsiba Effi Azah | Home Health Aide | 6323 Georgia Ave Nw, Washington, DC 20011-1101 | 2018-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999239 | Anna Gwanyama | Licensed Practical Nurse | 6120 Kansas Avenue Northwest, Washington D.c, DC 20011 | 2020-10-16 |
| 1861005399 | Christine Jokisch | Social Worker | 33rd Riggs Rd Ne, Washington, DC 20011 | 2020-08-25 |
| 1407403645 | Allied Healthcare Group LLC | Home Health | 6120 Kansas Ave, Nw, 1st Floor, A, Washington, DC 20011 | 2019-08-22 |
| 1871146548 | Bernice Mccallum | Technician | 1336 Missouri Ave. N.w #321, Washington, DC 20011 | 2019-07-22 |
| 1114586484 | District Urgent Care Professional Corporation | Clinic/Center | 4903-b Georgia Av, Washington, DC 20011 | 2019-06-11 |
| 1053978908 | Aminata U Nabie | Licensed Practical Nurse | 6120 Kansas Ave., Nw, Washington, DC 20011 | 2019-05-28 |
| 1831656768 | Prudence Dakam Siewe | Home Health Aide | 931 Longfellow St Nw, 311, Washington, DC 20011 | 2019-02-27 |
| 1750858304 | Hilary Lauren Kulig | Counselor | 100 Galentine St. Ne, Washington, DC 20011 | 2018-10-31 |
| 1154807444 | Emebet Dessalgn Atnaw | Home Health Aide | 6040 13th Pl Nw Apt 306, Washington, DC 20011 | 2018-07-19 |
| 1881185213 | Quality One Care Home Health Inc. | Home Health | 143 Kennedy St Nw Ste 14, Washington, DC 20011 | 2018-05-22 |
| Find all providers in zip 20011 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214829 | Evenly Dc, Pllc | Dentist | 1619 Connecticut Ave Nw, Washington, DC 20009-1013 | 2020-10-30 |
| 1821605932 | Candid Washington D.c., Pllc | Dentist | 700 5th St Nw Fl 2, Washington, DC 20001-2752 | 2020-09-23 |
| 1306472675 | Cintia Helena Zingaretti Junqueira Mendes | Dentist | 110 Irving St Nw Ste Ga141d, Washington, DC 20010-3017 | 2020-03-19 |
| 1376178194 | Infinity Orthodontics P.C. | Dentist | 1147 20th St Nw Ste 200, Washington, DC 20036-3573 | 2020-03-12 |
| 1235786328 | Washington Airway & Wellness Center, LLC | Dentist | 1625 K St Nw Frnt 1, Washington, DC 20006-1610 | 2019-08-22 |
| 1366095440 | John Shefferman | Dentist | 1747 Pennsylvania Ave Nw Ste 120, Washington, DC 20006-4604 | 2019-07-18 |
| 1417511627 | Tusk Orthodontics Pllc | Dentist | 3900 Kansas Ave Nw Ste 101, Washington, DC 20011-5712 | 2019-04-24 |
| 1598265944 | Family Orthodontics of Dc Pllc | Dentist | 5301 Wisconsin Ave Nw Ste 200, Washington, DC 20015 | 2018-02-12 |
| 1013467588 | Kathryn Jan Clark | Dentist | 4110 River Rd Nw, Washington, DC 20016-4618 | 2016-10-10 |
| 1528412426 | Hamid Reza Saranjam | Dentist | 818 18th St Nw Ste 747, Washington, DC 20006-3513 | 2016-04-17 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20011 |
Please comment or provide details below to improve the information on PREMIERE ORTHO-PEDO PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.