CAPITAL KIDS DENTISTRY LLC (NPI# 1629451430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629451430 |
| Entity Type | Organization |
| Organization Name | CAPITAL KIDS DENTISTRY LLC |
| Practice Address |
4200 Wisconsin Ave Nw Ste 240 Washington DC 20016-2143 |
| Practice Telephone | 2025457200 |
| Mailing Telephone | 2025457200 |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-07-08 |
| Authorized Official Name | JESSICA EXELBERT RUBIN (OWNER) |
| Authorized Official Telephone | 2025457200 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DEN1000864 | DC | Dental Providers |
| Street Address |
4200 WISCONSIN AVE NW STE 240 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20016-2143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790390144 | Julie Marcus | Nurse Practitioner | 4200 Wisconsin Avenue Nw, 4th Floor, Washington, DC 20016 | 2020-09-12 |
| 1669080289 | Rachel Mary Lipman | Student in an Organized Health Care Education/Training Program | 5185 Macarthur Blvd, Washington, DC 20016 | 2020-07-20 |
| 1285253484 | Shawn Anthony Haupt | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2020-04-09 |
| 1457991176 | Joseph Stephen Driscoll | Specialist/Technologist | St. Albans School / Mount St, Alban, 3001 Wisconsin Ave, Washington, DC 20016 | 2020-01-10 |
| 1164063293 | Christine Ju | Dietitian, Registered | 3517 Ordway St Nw, Washington, DC 20016 | 2019-09-30 |
| 1376191072 | Carlitta Theresa Harris | Registered Nurse | 501 School Street Suite, Suite 200, Sw, DC 20016 | 2019-08-27 |
| 1295399384 | People's Lactation LLC | Registered Nurse | 3022 Wisconsin Ave Nw Apt 208, Washington, DC 20016 | 2019-04-24 |
| 1578057428 | Itzhak Brook | General Practice | 4431 Albemarle St. Nw, Washington, DC 20016 | 2018-06-14 |
| 1093211724 | Hannah Elise Sterling | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw 4th Floor, Department of Pediatrics, Washington, DC 20016 | 2018-04-02 |
| 1447755616 | Michele Elizabeth Zaragoza | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2018-03-28 |
| Find all providers in zip 20016 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235604711 | Pearson Pediatric Dentistry | Dentist | 2041 Martin Luther King Jr Ave Se Ste M11, Washington, DC 20020-7000 | 2018-10-10 |
| 1659882595 | Shiningstars Pediatric Dentistry PC | Dentist | 435 Ingraham St Ne, Washington, DC 20011 | 2017-10-18 |
| 1841738861 | Sarah Ann Lukeman | Dentist | 2013 Bunker Hill Rd Ne, Washington, DC 20018-3223 | 2017-02-09 |
| 1346620929 | Sterling Roberts | Dentist | 6323 Georgia Ave Nw Ste 201, Washington, DC 20011-1141 | 2015-06-09 |
| 1144631706 | Dc Light Dental, PC | Dentist | 1331 Pennsylvania Ave Nw Ste 502, Washington, DC 20004-1771 | 2014-05-16 |
| 1174949101 | Roma Gandhi | Dentist | 4910 Massachusetts Ave Nw Ste 311, Washington, DC 20016-4368 | 2014-03-14 |
| 1043539570 | Seungwon Yoon | Dentist | 1145 19th St Nw Ste 714, Washington, DC 20036-3713 | 2010-05-24 |
| 1003041328 | Siamak Sy Majidi | Dentist | 3239 N St Nw Apt 12, Washington, DC 20007-2834 | 2009-05-17 |
| 1720297344 | St.elmo W. Crawford D.d.s.p.c. | Dentist | 1922 Benning Rd Ne, Washington, DC 20002-4724 | 2007-05-21 |
| 1780726810 | Stephen Edward Grimm IIi | Dentist | Howard University College of Dentistry, 600 W Street, Nw, Washington, DC 20059-0001 | 2007-02-13 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20016 |
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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.