NPIMap

Organization Active NPI

Amy Light, DMD, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Potomac, MD
National Provider Identifier
1336397496
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
9152 Issued in MD
Legal business name
AMY LIGHT, DMD, PC
Practice address
9812 Falls Rd
Suite 118
Potomac, MD 20854-3976
Phone
(301) 983-9804
Fax
(301) 983-5571
NPI assigned
Sep 3, 2008
Last updated
Sep 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Authorized official

Name
Dr. Amy Treese Light, DMDNPI 1063507010
Title
President
Phone
(301) 983-9804

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 9152 MD
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 9152 MD Primary

Addresses

Primary practice location

9812 Falls Rd
Suite 118
Potomac, MD 20854-3976

Mailing address

9812 Falls Rd
Suite 118
Potomac, MD 20854-3976
Phone (301) 983-9804

National Provider Directory

National Provider Directory

Locations

9812 Falls Rd
Ste 118
Potomac, MD 20854
Phone (301) 250-1483

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1336397496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9812 FALLS RD",
            "address_2": "SUITE 118",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543976",
            "telephone_number": "301-983-9804",
            "fax_number": "301-983-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9812 FALLS RD",
            "address_2": "SUITE 118",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543976",
            "telephone_number": "301-983-9804",
            "fax_number": "301-983-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY LIGHT, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "LIGHT",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "TREESE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-983-9804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "9152",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "9152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.