KINDRED DENTAL PLLC (NPI# 1629597547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629597547 |
| Entity Type | Organization |
| Organization Name | KINDRED DENTAL PLLC |
| Practice Address |
2300 Washington Pl Ne 111s Washington DC 20018 |
| Mailing Address |
330 Rhode Island Ave Ne Apt 104 Washington DC 20002-6830 |
| Practice Telephone | 2025158848 |
| Practice Fax Number | 2026292962 |
| Mailing Telephone | 2022711845 |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2017-09-12 |
| Authorized Official Name | DR. NICOLAS RAFAEL KINDRED (DENTIST/OWNER) |
| Authorized Official Telephone | 2022711845 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DEN1001171 | DC | Ambulatory Health Care Facilities |
| Street Address |
2300 WASHINGTON PL NE 111S |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255641536 | Nicolas Rafael Kindred | Dentist | 2300 Washington Pl Ne, Suite 111s, Washington, DC 20018 | 2010-10-20 |
| 1134729650 | Jayland Fowlkes | Technician | 2300 Washington Pl Ne, Washington, DC 20018-1053 | 2020-10-26 |
| 1992240410 | Chase Consulting, LLC | Community/Behavioral Health | 2300 Washington Pl Ne, Suite 423, Washington, DC 20018-1053 | 2016-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104438712 | Veronica Anita Rose | Technician | 3005 Bladensburg Rd Ne Apt 306, Washington, DC 20018 | 2020-08-17 |
| 1851910293 | Justina Christina Okougbo | Nurse Practitioner | 1242 12th St Ne Washington D.c., Washington, DC 20018 | 2020-04-15 |
| 1821629304 | Claire Cinque | Physical Therapy Assistant | 2601 18th Street Nw, Washington, DC 20018 | 2020-02-03 |
| 1669025474 | Chase Associates, LLC | Community/Behavioral Health | 2300 Washington Pl. Ne, Suite 423, Washington, DC 20018 | 2019-07-20 |
| 1407328446 | Howard Mabry | Psychologist | 2218 Rhode Island Avenue, Washington, DC 20018 | 2018-12-31 |
| 1760968697 | Velma Enjie Tebo | Home Health Aide | 1511 Franklin St Ne Apt 510, Washington, DC 20018 | 2018-07-13 |
| 1346744141 | Jacques Vanel Siewe Mbouwe | Home Health Aide | 3508 Commodore Joshua Barney Drive N.e, Apt #t3, Washington, DC 20018 | 2018-03-19 |
| 1376050658 | Marlena Hunt | Technician | 2504 10th St. Ne, Apt 404, Washington, DC 20018 | 2018-01-08 |
| 1245745926 | Mirabel Timben Mbah | Home Health Aide | 2010 Rhode Island Ave, 2nd Floor, North East, DC 20018 | 2017-12-04 |
| 1356855332 | St Judes Dental Clinic | Dentist | 2802 Rhode Island Ave Ne # 1, Washington, DC 20018 | 2017-11-28 |
| Find all providers in zip 20018 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962064295 | Tomell Dubose Dds Pllc | Clinic/Center | 5437 Conn Ave Nw Apt 203, Washington, DC 20015-2706 | 2019-07-08 |
| 1922668524 | Khalid M Hussein Dds PC | Clinic/Center | 1712 I St Nw Ste 906, Washington, DC 20006-3702 | 2019-06-17 |
| 1033677901 | C. Hastings, Dds, LLC | Clinic/Center | 1709 Heritage Hills Dr, Washington, MO 63090-4621 | 2019-03-08 |
| 1639640303 | Lovitrois Dental LLC | Clinic/Center | 2316 Pennsylvania Ave Se, Washington, DC 20020-6706 | 2018-12-06 |
| 1700352291 | Heather Mcvay PC | Clinic/Center | 2112 North Franklin Dr, Suite 3, Washington, PA 15301 | 2018-10-23 |
| 1811472798 | Creative Smile Institute LLC | Clinic/Center | 3636 16th Street, Nw, Suite Ag 13, Washington, DC 20010-2001 | 2018-09-26 |
| 1386126258 | Capitol Endodontics Pllc | Clinic/Center | 1234 19th St Nw Ste 502, Washington, DC 20036-2446 | 2018-09-06 |
| 1215439500 | Terrijmatthewssleepwell,inc | Clinic/Center | 600 W St Nw Ofc 458, Washington, DC 20059-1022 | 2018-03-02 |
| 1184122681 | Alex Dental PC | Clinic/Center | 2311 M St Nw Ste 404, Washington, DC 20037-1468 | 2018-01-30 |
| 1649791666 | Alexas Family Dentistry | Clinic/Center | 2301 Jefferson Ave, Suite 3, Washington, PA 15301 | 2017-06-29 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20018 |
Please comment or provide details below to improve the information on KINDRED DENTAL 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.