WALTER JOHN MAZZELLA (NPI# 1497733463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497733463 |
| Entity Type | Individual |
| Full Name | WALTER JOHN MAZZELLA |
| Credential | DDS, MS |
| Practice Address |
4400 Jenifer St Nw #335 Washington DC 20015 |
| Practice Telephone | 2029663132 |
| Practice Fax Number | 2029660470 |
| Mailing Telephone | 2029663132 |
| Mailing Fax Number | 2029660470 |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DEN2174 | DC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487990099 | Walter Matthew Mazzella | Dentist | 10775 Birmingham Way, Suite 1, Woodstock, MD 21163-1425 | 2012-12-31 |
| Street Address |
4400 JENIFER ST NW #335 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275536278 | Robert Neil Smyth | Dentist | 4400 Jenifer St Nw, Ste 335, Washington, DC 20015-2086 | 2005-05-23 |
| 1598124760 | Rebecca Parks | Occupational Therapist | 4400 Jenifer St Nw, Suite #280, Washington, DC 20015-2113 | 2016-02-17 |
| 1902265101 | Sensational Kids Therapy LLC | Physical Therapist | 4400 Jenifer St Nw, Suite 280, Washington, DC 20015-2113 | 2016-02-16 |
| 1003275686 | Lisa George | Occupational Therapist | 4400 Jenifer St Nw, Suite 280, Washington, DC 20015-2113 | 2016-02-11 |
| 1912363573 | Fidel Dental Group, Pllc | Dentist | 4400 Jenifer St Nw, Suite 335, Washington, DC 20015-2113 | 2016-01-12 |
| 1013330414 | Christina Beth Tripodi | Psychologist | 4400 Jenifer St Nw, Washington, DC 20015-2113 | 2014-01-22 |
| 1679890834 | Georgetown Orand & Max Surgery | Exclusive Provider Organization | 4400 Jenifer St Nw, Suite 270, Washington, DC 20015-2113 | 2010-04-28 |
| 1194847301 | Elizabeth M Baugher | Occupational Therapist | 4400 Jenifer St Nw, 280, Washington, DC 20015-2113 | 2007-04-06 |
| 1538283916 | Stacy Coyle | Psychologist | 4400 Jenifer St Nw, Suite 280, Washington, DC 20015-2113 | 2007-03-19 |
| 1194850214 | Andrew Charles Cobb | Dentist | 4400 Jenifer St Nw, Suite 340, Washington, DC 20015-2086 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598265944 | Family Orthodontics of Dc Pllc | Dentist | 5301 Wisconsin Ave Nw Ste 200, Washington, DC 20015 | 2018-02-12 |
| 1417351578 | Kelly Barnes | Registered Nurse | 3608 Rittenhouse St Nw, Washington, DC 20015 | 2014-10-20 |
| 1093143729 | Diana Kwan | Pharmacist | 5335 Wisconsin Ave, Washington, DC 20015 | 2013-10-15 |
| 1265867790 | Kimberly Roberts Perks | Occupational Therapist | 3200 Military Rd Nw, Washington, DC 20015 | 2013-09-03 |
| 1013356708 | Jason Douglas Wemmers | Psychologist | 5225 Wisconsin Ave, Nw, Suite 400, Washington, DC 20015 | 2013-06-17 |
| 1427364256 | Saralyn Mark | Internal Medicine | 4208 Ingomar St, Nw, Washington, DC 20015 | 2010-08-31 |
| 1205061108 | Stanley Isaac Rapoport | General Practice | 3050 Military Road Nw, Apt. 935, Washington, DC 20015 | 2009-05-20 |
| 1447410113 | Bonnie Cho | Dentist | 5212 Connecticut Ave Nw, Washington, DC 20015 | 2008-06-16 |
| 1184804015 | Daniel Samuel Pine | Psychiatry & Neurology | 5225 Wisconsin Avenue Nw, Suite 400 The Ross Center, Washington, DC 20015 | 2007-11-08 |
| 1821291659 | John M Dluhy Jr. | Psychiatry & Neurology | 3709 Ingomar St Nw, Washington, DC 20015 | 2007-06-08 |
| Find all providers in zip 20015 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386261097 | Kelechi Ononauju Okereke | Dentist | Howard University-college of Dentistry 600 W Street Nw, Washington, DC 20059-0001 | 2020-06-29 |
| 1013552223 | Adam D Schwartz Dds PC | Dentist | 4545 Connecticut Avenue Nw Suite 419, Washington, DC 20008 | 2019-11-12 |
| 1700446010 | Kurtis Schuyler | Dentist | 416 Elm St # 4, Washington, MO 63090-2310 | 2019-06-18 |
| 1033779459 | 4900 Dental | Dentist | 4900 Massachusetts Ave Nw Ste 200, Washington, DC 20016-4358 | 2019-06-18 |
| 1356909147 | James Richard Young | Dentist | 64580 Van Dyke Rd Ste B, Washington, MI 48095-2811 | 2019-06-05 |
| 1871053165 | Alyse Marie Knuth | Dentist | Pentagon, Corridor 8, Washington, DC 20002 | 2019-03-22 |
| 1841750189 | Roman Moss | Dentist | 3000 Connecticut Ave Nw Ste 8, Washington, DC 20008-2542 | 2019-03-22 |
| 1538626734 | Stylishsmile.pllc | Dentist | 2737 Devonshire Pl Nw Ste A&b, Washington, DC 20008-3479 | 2019-02-23 |
| 1760960165 | District Dental Solutions | Dentist | 1140 19th St Nw Ste 220, Washington, DC 20036-6616 | 2018-07-30 |
| 1952817652 | Sai N Kham Dmd Pllc | Dentist | 2021 K St Nw Ste 412, Washington, DC 20006-1003 | 2017-12-18 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20015 |
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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.