Organization Active NPI

Hawa Management Group LLC

  • General Practice Dentistry
  • Potomac Falls, VA
National Provider Identifier
1336537372
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401410094 Issued in VA
Legal business name
HAWA MANAGEMENT GROUP LLC
Practice address
46175 Westlake Dr Ste 130
Potomac Falls, VA 20165-5873
Phone
(703) 204-1766
NPI assigned
Dec 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Authorized official

Name
Mr. Greg Layton
Title
Manager
Phone
(703) 204-1766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401410094 VA Primary

Addresses

Primary practice location

46175 Westlake Dr Ste 130
Potomac Falls, VA 20165-5873

Mailing address

46175 Westlake Dr Ste 130
Potomac Falls, VA 20165-5873
Phone (703) 204-1766

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1336537372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46175 WESTLAKE DR STE 130",
            "city": "POTOMAC FALLS",
            "state": "VA",
            "postal_code": "201655873",
            "telephone_number": "703-204-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46175 WESTLAKE DR STE 130",
            "city": "POTOMAC FALLS",
            "state": "VA",
            "postal_code": "201655873",
            "telephone_number": "703-204-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWA MANAGEMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "LAYTON",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "703-204-1766",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac Falls, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.