Organization Active NPI

Excelsior Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Purcellville, VA
National Provider Identifier
1699498493
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
EXCELSIOR ORTHODONTICS PLLC
Practice address
205 Hirst Rd Ste 105
Purcellville, VA 20132-6199
Phone
(540) 751-8826
NPI assigned
Sep 26, 2022
Last updated
Sep 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Authorized official

Name
Dr. Minh Nguyen Nguyen, DDS, MS
Title
Owner/Orthodontist
Phone
(540) 751-8826

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X Primary

Addresses

Primary practice location

205 Hirst Rd Ste 105
Purcellville, VA 20132-6199

Mailing address

205 Hirst Rd Ste 105
Purcellville, VA 20132-6199
Phone (540) 751-8826

National Provider Directory

National Provider Directory

Locations

205 Hirst Rd
Ste 105
Purcellville, VA 20132
Phone (540) 751-8826

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1699498493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 HIRST RD STE 105",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201326199",
            "telephone_number": "540-751-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 HIRST RD STE 105",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201326199",
            "telephone_number": "540-751-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELSIOR ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MINH",
        "authorized_official_middle_name": "NGUYEN",
        "authorized_official_title_or_position": "OWNER/ORTHODONTIST",
        "authorized_official_telephone_number": "540-751-8826",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Purcellville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.