NPIMap

Organization Active NPI

Potomac River Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Manassas, VA
National Provider Identifier
1730876764
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
POTOMAC RIVER ORTHODONTICS PLLC
Practice address
12701 Galveston CT
Manassas, VA 20112-8674
Phone
(703) 670-0202
NPI assigned
Apr 19, 2023
Last updated
Apr 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Authorized official

Name
Dr. Owais Naeem, DDS, MSNPI 1407474588
Title
Orthodontist
Phone
(703) 839-3949

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 Primary

Addresses

Primary practice location

12701 Galveston CT
Manassas, VA 20112-8674

Mailing address

4215 Windermere View PL
Woodbridge, VA 22192-5578
Phone (703) 839-3949

Other practice location 1

18043 Dumfries Shopping Plz
Dumfries, VA 22026-2356
Phone (703) 221-4535

National Provider Directory

National Provider Directory

Locations

12701 Galveston Ct
Manassas, VA 20112
Phone (703) 659-8188

Practitioners & affiliated clinicians

Practitioners 6

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": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1730876764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 WINDERMERE VIEW PL",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925578",
            "telephone_number": "703-839-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 GALVESTON CT",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201128674",
            "telephone_number": "703-670-0202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18043 Dumfries Shopping Plz",
            "address_purpose": "LOCATION",
            "city": "Dumfries",
            "state": "VA",
            "postal_code": "220262356",
            "country_code": "US",
            "telephone_number": "703-221-4535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "POTOMAC RIVER ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "NAEEM",
        "authorized_official_first_name": "OWAIS",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "703-839-3949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "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": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.