Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013564442 Individual Practitioner Male Practitioner

Dr. Keith Mesidor , DDS

Dentist - General Practice • Washington, DC

Professional Overview & Biography Verified Profile Summary

Dr. Keith Mesidor, DDS is a registered healthcare professional specializing in Dentist - General Practice in Washington, DC. Practice services are available at 50 IRVING ST NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

50 Irving St Nw

Washington, DC 204226257

Telephone 2027458000
Associated Practice Facility / Clinic
🏢 Washington Dc Vamc Facility NPI 1336198704

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: 2023-10-16
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MD 16952

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License VA 0401416951

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003071671
Janelle Phillip , MSW

Social Worker - Clinical

NPI 1003171224

Master of Social Work

Dr. Jennifer Dimauro , PhD

Psychologist - Clinical

NPI 1003478090

Doctor of Philosophy (Ph.D.)

Dr. Jessica Lenderts , DNP, FNP-BC

Nurse Practitioner - Family

NPI 1003539289

Doctor of Nursing Practice, Family Nurse Practitioner (Board Certified)

Dawn Felix , NP

Nurse Practitioner - Family

NPI 1003916362

Nurse Practitioner

Marla Brundies , LISW

Social Worker - Clinical

NPI 1003926072

Licensed Independent Social Worker

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location October 16, 2023

Registered at 50 IRVING ST NW, WASHINGTON, DC 204226257 (Tel: 2027458000)

📍
Updated Business Mailing Address October 16, 2023

Registered at 50 IRVING ST NW, DENTAL CLINIC, WASHINGTON, DC 204220001 (Tel: 2027458000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2023

Dentist (License #0401416951 in VA)

📍
Updated Practice Location June 29, 2020

Registered at 13401 NEW HAMPSHIRE AVE STE 2, SILVER SPRING, MD 209046257 (Tel: 3018798337)

NPI Profile Active August 21, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location August 21, 2019

Registered at 50 IRVING ST NW, WASHINGTON, DC 204220001 (Tel: 2027458000)

📍
Updated Business Mailing Address August 21, 2019

Registered at 50 IRVING ST NW, WASHINGTON, DC 204220001 (Tel: 2027458000)

👤
Provider Name / Credentials Updated August 21, 2019

Recorded as KEITH MESIDOR, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration August 21, 2019

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: 1013564442
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2019
Last Update: October 16, 2023
Sole Proprietor: Yes

Mailing Address

50 Irving St Nw, Dental Clinic

Washington, DC 204220001

Phone: 2027458000

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.