Active NPI
Alicia Le Nguyen Hutchison, D.D.S
- Orthodontics and Dentofacial Orthopedics Dentistry
- Woodbridge, VA
National Provider Identifier
1659796167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 0401413821
- Practice address
- 2200 Opitz Blvd
Suite 370
Woodbridge, VA 22191-3321 - Phone
- (703) 494-9118
- NPI assigned
- Feb 20, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 0401413821 | VA | Primary |
Addresses
Primary practice location
2200 Opitz Blvd
Suite 370
Woodbridge, VA 22191-3321
Mailing address
2200 Opitz Blvd
Suite 370
Woodbridge, VA 22191-3321
Phone (703) 494-9118
Other names 1
- Dr. Alicia Le Nguyen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401413821 | VA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Potomac Orthodontics PLLC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Woodbridge, VA
- NPI 1669878997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420675200000",
"number": "1659796167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 OPITZ BLVD",
"address_2": "SUITE 370",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221913321",
"telephone_number": "703-494-9118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 OPITZ BLVD",
"address_2": "SUITE 370",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221913321",
"telephone_number": "703-494-9118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTCHISON",
"first_name": "ALICIA",
"middle_name": "LE NGUYEN",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-20",
"last_updated": "2015-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "VA",
"license": "0401413821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALICIA",
"last_name": "NGUYEN",
"middle_name": "LE",
"prefix": "DR.",
"credential": "D.D.S",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.