Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154062990 Individual Practitioner Male Practitioner

Dr. Michael Cevallos , DMD

Dentist - General Practice • Washington, DC

Professional Overview & Biography Verified Profile Summary

Dr. Michael Cevallos, DMD is a registered healthcare professional specializing in Dentist - General Practice in Washington, DC. Practice services are available at 100 GALLATIN STREET NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 Gallatin Street Ne

Washington, DC 200112027

Telephone 2024838196
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Washington, DC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
390 Specialists

Practicing in Washington, DC (402 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-09-01
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License DC DEN2000289

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Joanna Rivera-Santana , RN

Registered Nurse - Community Health

NPI 1003046699

Registered Nurse

Gabriela Santamaria , CPNP-PC, IBCLC

Nurse Practitioner - Pediatrics

NPI 1023408846

CPNPPC, International Board Certified Lactation Consultant

NPI 1023790516
Sofia Rosenblum , LCSW

Social Worker - Clinical

NPI 1043643497

Licensed Clinical Social Worker

Juquasia Robinson

Social Worker - Clinical

NPI 1043883531
Moriah Grace

Social Worker - Clinical

NPI 1043913130

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location September 04, 2023

Registered at 100 GALLATIN STREET NE, WASHINGTON, DC 200112027 (Tel: 2024838196)

📍
Updated Business Mailing Address September 04, 2023

Registered at 11919 RIMSWELL MEWS, MIDLOTHIAN, VA 23112 (Tel: 8044335921)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2023

Dentist (License #DEN2000289 in DC)

NPI Profile Active April 05, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 05, 2022

Registered at 201 LYONS AVE, NEWARK, NJ 071122027 (Tel: 9739267642)

📍
Updated Business Mailing Address April 05, 2022

Registered at 188 LONGWOOD AVE, BOSTON, MA 021155819 (Tel: 8044335921)

👤
Provider Name / Credentials Updated April 05, 2022

Recorded as MICHAEL CEVALLOS, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 05, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154062990
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2022
Last Update: September 04, 2023
Sole Proprietor: Yes

Mailing Address

11919 Rimswell Mews

Midlothian, VA 23112

Phone: 8044335921

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.