NPIMap

Organization Active NPI

Samtha Brotherton, DDS., PC

  • Dental Clinic/Center
  • Alexandria, VA
National Provider Identifier
1336379007
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
0401410499 Issued in VA
Legal business name
SAMTHA BROTHERTON, DDS., PC
Practice address
5500 Holmes Run Pkwy
Suite C-5
Alexandria, VA 22304-2863
Phone
(703) 212-2001
NPI assigned
Jul 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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

Authorized official

Name
Dr. Samtha Brotherton
Title
President
Phone
(703) 212-2001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 0401410499 VA Primary

Addresses

Primary practice location

5500 Holmes Run Pkwy
Suite C-5
Alexandria, VA 22304-2863

Mailing address

5500 Holmes Run Pkwy
Suite C-5
Alexandria, VA 22304-2863

National Provider Directory

National Provider Directory

Locations

5500 Holmes Run Pkwy
Ste C5
Alexandria, VA 22304
Phone (703) 212-2001

NPI Registry JSON

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1336379007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 HOLMES RUN PKWY",
            "address_2": "SUITE C-5",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223042863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 HOLMES RUN PKWY",
            "address_2": "SUITE C-5",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223042863",
            "telephone_number": "703-212-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMTHA BROTHERTON, DDS., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "BROTHERTON",
        "authorized_official_first_name": "SAMTHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-212-2001",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401410499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.