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ELAINE ELLIS CENTER OF HEALTH
NPI 1366243768
Clinic/Center - Dental in Washington, DC

Active since March 21, 2025
1627 KENILWORTH AVE NE, WASHINGTON, DC 20019(202) 803-2340(202) 803-2350 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elaine Ellis Center Of Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELAINE ELLIS CENTER OF HEALTH (NPI 1366243768) is a healthcare organization registered as a dental in Washington, District Of Columbia and active in the NPI registry since March 2025. The organization lists Jacquelyn Renee Walker, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366243768
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameELAINE ELLIS CENTER OF HEALTH
Location Address1627 KENILWORTH AVE NEWashington, DC 20019-2010
Mailing Address1627 Kenilworth Ave NeWashington, DC 20019-2010 · (202) 803-2340 · Fax (202) 803-2350
Phone(202) 803-2340
Fax(202) 803-2350
Organization SubpartNo
Authorized OfficialJacquelyn Renee WalkerCeo · (202) 803-2340
Enumeration DateMarch 21, 2025
NPPES CertifiedMarch 21, 2025
✔ NPI 1366243768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1627 KENILWORTH AVE NE, Washington, DC 20019
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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALLISON DENISE RAYMOND DDS
Dentist (General Practice)
1627 KENILWORTH AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 803-2340
DALE MARSHALL CAC I, CAC-AD, LGPC
Counselor (Addiction (Substance Use Disorder))
1627 KENILWORTH AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 803-2340
MEDHIN G GEBREAMLAK NP
Nurse Practitioner (Family)
1627 KENILWORTH AVE NE
WASHINGTON, DC 20019
District of Columbia (703) 732-7126
DR. MAHIRA TAMBOO DMD
Dentist (General Practice)
1627 KENILWORTH AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 803-2340
VERNELL GAIL THOMAS RDH
Dental Hygienist
1627 KENILWORTH AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 803-2340
ELAINE ELLIS CENTER OF HEALTH, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1627 KENILWORTH AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 425-2313
SONIA HAIDER MD
Family Medicine
1627 KENILWORTH AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 803-2350
AFSHAN REHMAN MD
Family Medicine
1627 KENILWORTH AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 803-2340

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elaine Ellis Center Of Health's NPI number?

The NPI number for Elaine Ellis Center Of Health is 1366243768. It was assigned to this organization in the NPPES registry on March 21, 2025.

Where is Elaine Ellis Center Of Health located?

Elaine Ellis Center Of Health is located at 1627 Kenilworth Ave NE, Washington, DC 20019. The listed phone number is (202) 803-2340.

What is Elaine Ellis Center Of Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Elaine Ellis Center Of Health was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.