Kravitz Orthodonitcs

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

401411350 Issued in VA

Legal business name

KRAVITZ ORTHODONITCS

Practice address

20405 Exchange St Ste 210
Ashburn, VA 20147-5934

Phone

(703) 729-0350

NPI assigned

Jul 8, 2014

Organization subpart

No

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

Authorized official

Name

Neal Kravitz

Title

Owner

Phone

(571) 206-1395

Specialties & licenses 2

Addresses

Tax ID family

Kravitz Orthodonitcs2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Potomac Falls Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Sterling, VA
  • NPI 1942696513
  NPD tax ID

Locations

Practitioners 1

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

• Jessica Thai

  • Dentist
  • Ashburn, VA
  • NPI 1912473505
  NPD (past)

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1285040501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20405 EXCHANGE ST STE 210",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475934",
            "telephone_number": "703-729-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20405 EXCHANGE ST STE 210",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475934",
            "telephone_number": "703-729-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRAVITZ ORTHODONITCS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-08",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "KRAVITZ",
        "authorized_official_first_name": "NEAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-206-1395"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "401411350",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "040143294",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathon Konz, DDS
• Bijan M Kooshki, DDS
• Kayla Kopchak, BCBA, LBA
• Shaveta Kotwal, MD
• Kathleen Diane Kozma, PH.D.
• Mary Barbara Krygiel, LAC
• Jacek Krzepicki, M.D.
• Jennifer Kugler, D.O.
• Eileen Marie Kuhn, OTR
• Brett Alexandria Kulp

• Dental Clinic/Center in Ashburn, VA
• Providers in Ashburn, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.