OrganizationActive
Advanced Periodontics of Washington, PLLC
NPI 1700309861 · Periodontics · Washington, DC
Provider details
- NPI number
- 1700309861
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Rustin Levy, Owner(202) 524-4863
- License
- DEN6003 (DC)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1145 19th St Nw Ste 510
Washington, DC 20036-3715
Phone: (202) 524-4863
Fax: (202) 524-4864
Street-level locationGet directions
Mailing address
1145 19th St Nw Ste 510
Washington, DC 20036-3715
Registry dates
- Enumerated
- 2017-07-20
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.