Amanda Romsa Polack, DMD, Ms, PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

AMANDA ROMSA POLACK, DMD, MS, PC

Practice address

4900 Massachusetts Ave NW Ste 260
Washington, DC 20016-4358

Phone

(771) 210-3484

Fax

(771) 210-3484

NPI assigned

Jan 28, 2026

Last updated

Jan 28, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

AMANDA ROMSA POLACK, DMD, MS, PCAs reported in NPPES

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

Authorized official

Name

Cassandra Wieth

Title

Director of Payor Relations

Phone

(623) 267-8121

Specialties & licenses 1

Addresses

Part of

Amanda Romsa Polack DMD Ms PC

Locations

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

{
    "created_epoch": "1769558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1134078454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 MASSACHUSETTS AVE NW STE 260",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164358",
            "telephone_number": "771-210-3484",
            "fax_number": "771-210-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 MASSACHUSETTS AVE NW STE 260",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164358",
            "telephone_number": "771-210-3484",
            "fax_number": "771-210-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA ROMSA POLACK, DMD, MS, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMANDA ROMSA POLACK, DMD, MS, PC",
        "enumeration_date": "2026-01-28",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "WIETH",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "DIRECTOR OF PAYOR RELATIONS",
        "authorized_official_telephone_number": "623-267-8121"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Washington, DC
• Providers in Washington, DC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.