CAPITOL HILL DENTAL GROUP (NPI# 1124380100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124380100 |
| Entity Type | Organization |
| Organization Name | CAPITOL HILL DENTAL GROUP |
| Practice Address |
412 1st St Se 2nd Floor, Rear Building Washington DC 20003-1804 |
| Practice Telephone | 2028631600 |
| Mailing Telephone | 2028631600 |
| Mailing Fax Number | 2028631605 |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2012-06-14 |
| Authorized Official Name | DR. NORMAN J BOUCHARD (OWNER) |
| Authorized Official Telephone | 2028631600 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3463 | DC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932599057 | Capitol Hill Dental Group | Dentist | 3955 E Exposition Ave Ste 310, Denver, CO 80209-5032 | 2015-01-27 |
| Street Address |
412 1ST ST SE 2ND FLOOR, REAR BUILDING |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20003-1804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598970394 | Alexandra E. S. Thomson | Dentist | 412 1st St Se, 2nd Floor, Rear Bldg, Washington, DC 20003-1804 | 2007-05-14 |
| 1306488630 | National Speech Language Therapy Center | Occupational Therapist | 412 1st St Se, Washington, DC 20003-1804 | 2019-10-08 |
| 1942854781 | Samuel Cole | Speech-Language Pathologist | 412 1st St Se, Washington, DC 20003-1804 | 2019-07-30 |
| 1366094468 | Destiny Robinson | Behavior Technician | 412 1st St Se, Washington, DC 20003-1804 | 2019-07-10 |
| 1275090821 | Kayla Llena | Behavior Technician | 412 1st St Se, Washington, DC 20003-1804 | 2019-03-01 |
| 1639633613 | Mercedes Courtenay | Behavior Technician | 412 1st St Se, Washington, DC 20003-1804 | 2019-01-24 |
| 1841764651 | Adaja Holliday | Behavior Technician | 412 1st St Se, Washington, DC 20003-1804 | 2019-01-15 |
| 1346716644 | Diana Valadez | Speech-Language Pathologist | 412 1st St Se, Washington, DC 20003-1804 | 2018-10-15 |
| 1760957484 | Piraporn Satjayakorn | Behavior Technician | 412 1st St Se, Washington, DC 20003-1804 | 2018-10-09 |
| 1053898965 | Nicole Hearn | Speech-Language Pathologist | 412 1st St Se, Washington, DC 20003-1804 | 2018-07-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720686694 | Joy Mpode Nkede | Home Health Aide | 2012 12th Street Se, G35, Washington, DC 20003 | 2020-10-13 |
| 1548872617 | Marie Lubin | Licensed Practical Nurse | 100 New Jersery Ave Se, Suite 845, Washington, DC 20003 | 2020-08-20 |
| 1770115081 | District of Columbia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15 I Street Se, Washington, DC 20003 | 2020-02-05 |
| 1538706676 | Eric Schwartz | Specialist/Technologist | 2400 E Capitol St Se, Washington, DC 20003 | 2019-12-09 |
| 1669945879 | Taiwo O Adeyemo | Nurse Practitioner | Unity Health Care, Inc Department of Corrections, 1901 D Street Se, Washington, DC 20003 | 2019-01-10 |
| 1881164424 | Heather Yvonne Daniels | Social Worker | 650 I Street Ne, Washington, DC 20003 | 2018-11-27 |
| 1467946566 | Fanta Boakai Sheriff | Home Health Aide | 1202 12th Street Se, Washington, DC 20003 | 2018-06-21 |
| 1881117513 | Rose Physcial Therapy Group | Physical Therapist | 1015 Half Street #102, Washington, DC 20003 | 2017-07-25 |
| 1821510280 | Tiara Doniece Jackson | Technician | 601 L St Se, Apt 1001, Washington, DC 20003 | 2017-07-07 |
| 1083134985 | Sophia Olivia Hooper | Home Health Aide | 1612 A St Se, Washington, DC 20003 | 2017-06-21 |
| Find all providers in zip 20003 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470196 | Benise Nnawuihe | Dentist | 55 M St Se, Washington, DC 20003-3522 | 2020-09-01 |
| 1124636139 | Amma Boateng | Dentist | 3651 Winfield Ln Nw, Washington, DC 20007-2385 | 2020-07-15 |
| 1760008841 | Kaitlin Elise Delaney | Dentist | 2021 K St Nw Ste 720, Washington, DC 20006-1003 | 2020-06-24 |
| 1710500871 | Robert Scott Mckernan | Dentist | 55 M St Ne Apt Ph210, Washington, DC 20002-3298 | 2020-05-24 |
| 1629691092 | City Dental Dc- 2055 L, Pllc | Dentist | 2075 L Street, Nw, Washington, DC 20036 | 2020-05-20 |
| 1275174351 | Roberts Brown & Associates | Dentist | 4300 Wheeler Rd Se, Washington, DC 20032-6036 | 2019-10-01 |
| 1841848421 | Tayler Yvette Keith Jackson | Dentist | 509 11th St Se, Washington, DC 20003-2831 | 2019-08-28 |
| 1639726243 | Matias Cima | Dentist | 4400 Jenifer St Nw Ste 340, Washington, DC 20015-2086 | 2019-08-20 |
| 1770145328 | Lydia Ileana Goodson | Dentist | 525 S, Ia-1, Washington, IA 52353-5235 | 2019-07-03 |
| 1346800356 | Mallory Kist | Dentist | 366 Washington Rd, Washington, PA 15301-2702 | 2019-06-20 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20003 |
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| 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.