Organization Active NPI

Breast and Body Solutions LLC

  • Medical Specialty Clinic/Center
  • MC Lean, VA
National Provider Identifier
1659730356
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
D0058647 Issued in MD
Legal business name
BREAST AND BODY SOLUTIONS LLC
Doing business as
DC Cosmetics
Practice address
8180 Greensboro Dr
Suite 1015
MC Lean, VA 22102-3888
Phone
(703) 543-9252
NPI assigned
Feb 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Authorized official

Name
Marwan KhalifehNPI 1871526426
Title
Doctor
Phone
(301) 244-0148

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X D0058647 MD Primary

Addresses

Primary practice location

8180 Greensboro Dr
Suite 1015
MC Lean, VA 22102-3888

Mailing address

8180 Greensboro Dr
Suite 1015
MC Lean, VA 22102-3888
Phone (703) 543-9252

Other names 1

  • DC Cosmetics Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1659730356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8180 GREENSBORO DR",
            "address_2": "SUITE 1015",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023888",
            "telephone_number": "703-543-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8180 GREENSBORO DR",
            "address_2": "SUITE 1015",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023888",
            "telephone_number": "703-543-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAST AND BODY SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "KHALIFEH",
        "authorized_official_first_name": "MARWAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "301-244-0148"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MD",
            "license": "D0058647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DC Cosmetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.