SHININGSTARS PEDIATRIC DENTISTRY PC (NPI# 1659882595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659882595 |
| Entity Type | Organization |
| Organization Name | SHININGSTARS PEDIATRIC DENTISTRY PC |
| Practice Address |
435 Ingraham St Ne Washington DC 20011 |
| Mailing Address |
Po Box 10083 Mclean VA 22102 |
| Practice Telephone | 7035867119 |
| Mailing Telephone | 7035867119 |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2017-10-18 |
| Authorized Official Name | DR. GINA C PHAM (PRESIDENT) |
| Authorized Official Telephone | 7035867119 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
435 INGRAHAM ST NE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20011 |
| 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 | 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 |
| 1841738861 | Sarah Ann Lukeman | Dentist | 2013 Bunker Hill Rd Ne, Washington, DC 20018-3223 | 2017-02-09 |
| 1629451430 | Capital Kids Dentistry LLC | Dentist | 4200 Wisconsin Ave Nw Ste 240, Washington, DC 20016-2143 | 2015-06-30 |
| 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 | 20011 |
Please comment or provide details below to improve the information on SHININGSTARS PEDIATRIC DENTISTRY PC.
| 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.