Organization Active NPI

Britto Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Woodbridge, VA
National Provider Identifier
1013304401
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
0401008946 Issued in VA
Legal business name
BRITTO ORTHODONTICS
Practice address
12581 Milstead Way
Suite 304
Woodbridge, VA 22192-5445
Phone
(703) 583-6784
Fax
(703) 230-0509
NPI assigned
Apr 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Bette Leigh Johannes
Title
Treatment Coordinator
Phone
(703) 230-6784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 0401008946 VA Primary

Addresses

Primary practice location

12581 Milstead Way
Suite 304
Woodbridge, VA 22192-5445

Mailing address

12581 Milstead Way
Suite 304
Woodbridge, VA 22192-5445
Phone (703) 583-6784

National Provider Directory

National Provider Directory

Locations

12581 Milstead Way
Ste 304
Woodbridge, VA 22192
Phone (703) 583-6784

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1013304401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12581 MILSTEAD WAY",
            "address_2": "SUITE 304",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925445",
            "telephone_number": "703-583-6784",
            "fax_number": "703-230-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12581 MILSTEAD WAY",
            "address_2": "SUITE 304",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925445",
            "telephone_number": "703-583-6784",
            "fax_number": "703-230-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRITTO ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-23",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "JOHANNES",
        "authorized_official_first_name": "BETTE",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "TREATMENT COORDINATOR",
        "authorized_official_telephone_number": "703-230-6784",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401008946",
            "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 Apr 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.