Loudoun County Orthodontics, PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

LOUDOUN COUNTY ORTHODONTICS, PLLC

Practice address

458 Madison Trade PLZ SE
Leesburg, VA 20175-3780

Phone

(571) 417-5626

NPI assigned

Jul 9, 2024

Organization subpart

No

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

Authorized official

Name

Jennifer Sullivan

Title

Director of Operations

Phone

(703) 965-8658

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1629814652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 AKAN ST SE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201755847",
            "telephone_number": "703-965-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 MADISON TRADE PLZ SE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201753780",
            "telephone_number": "571-417-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUDOUN COUNTY ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "703-965-8658"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loudoun Community Health Center
• Loudoun Community Health Center
• Loudoun Community Health Center, Inc. Dba Hwnova Community Pharmacy
• Loudoun Counseling Services
• Loudoun County Home Care
• Loudoun Dental Smiles
• Loudoun Endodontics, PLLC
• Loudoun Family & Relationship Counseling
• Loudoun Family and Cosmetic Dentistry
• Loudoun Family Pharmacy Corporation

• Orthodontics and Dentofacial Orthopedics Dentistry in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.