Organization Active NPI

Rise Orthodontic Studio, PLLC

  • Dental Clinic/Center
  • Winchester, VA
National Provider Identifier
1194562587
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RISE ORTHODONTIC STUDIO, PLLC
Practice address
3119 Valley Ave Ste 110
Winchester, VA 22601-2665
Phone
(847) 533-1349
NPI assigned
Jul 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Authorized official

Name
Dr. Ashley Elizabeth Larson, DMDNPI 1518556828
Title
Orthodontist
Phone
(847) 533-1349

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3119 Valley Ave Ste 110
Winchester, VA 22601-2665

Mailing address

102 W Pall Mall St
Winchester, VA 22601-4067
Phone (847) 533-1349

National Provider Directory

National Provider Directory

Locations

3119 Valley Ave
Ste 110
Winchester, VA 22601
Phone (847) 533-1349

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1194562587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W PALL MALL ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226014067",
            "telephone_number": "847-533-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3119 VALLEY AVE STE 110",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012665",
            "telephone_number": "847-533-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE ORTHODONTIC STUDIO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "847-533-1349",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.