NPIMap

Organization Active NPI

Potomac Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Woodbridge, VA
National Provider Identifier
1669878997
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
0401413821 Issued in VA
Legal business name
POTOMAC ORTHODONTICS PLLC
Practice address
2200 Opitz Blvd
Suite 370
Woodbridge, VA 22191-3321
Phone
(703) 494-9118
NPI assigned
Nov 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Authorized official

Name
Dr. Alicia Hutchison, D.D.SNPI 1659796167
Title
Orthodontist
Phone
(703) 494-9118

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

Other names 1

  • Potomac Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

2200 Opitz Blvd
Ste 370
Woodbridge, VA 22191
Phone (703) 494-9118

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": "1415836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1669878997",
    "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"
        },
        {
            "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": {
        "organization_name": "POTOMAC ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-13",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "HUTCHISON",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "703-494-9118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401413821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Potomac Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 13, 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.