Active NPI
Making a Difference Inc
- Exclusive Provider Organization
- Woodbridge, VA
National Provider Identifier
1003240722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- License
- 302F00000X
- Legal business name
- MAKING A DIFFERENCE INC
- Practice address
- 12781 Darby Brook CT
Woodbridge, VA 22192-2482 - Phone
- (571) 243-1845
- NPI assigned
- Aug 29, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Orlando Small
- Title
- Ceo
- Phone
- (202) 436-5386
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | 302F00000X | VA | Primary |
Addresses
Primary practice location
12781 Darby Brook CT
Woodbridge, VA 22192-2482
Mailing address
12781 Darby Brook CT
Woodbridge, VA 22192-2482
Phone (571) 243-1845
National Provider Directory
National Provider DirectoryLocations
12781 Darby Brook Ct
Woodbridge, VA 22192
Phone (571) 243-1845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1377734400000",
"number": "1003240722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12781 DARBY BROOK CT",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221922482",
"telephone_number": "571-243-1845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12781 DARBY BROOK CT",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221922482",
"telephone_number": "571-243-1845"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAKING A DIFFERENCE INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-29",
"last_updated": "2013-08-29",
"status": "A",
"authorized_official_last_name": "SMALL",
"authorized_official_first_name": "ORLANDO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "202-436-5386"
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "VA",
"license": "302F00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.