Organization Active NPI

Teem Orthodontics PLLC

  • Dental Clinic/Center
  • Gainesville, VA
National Provider Identifier
1790932507
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
0401411793 Issued in VA
Legal business name
TEEM ORTHODONTICS PLLC
Practice address
14634 Lee Highway
Gainesville, VA 20155
Phone
(703) 753-4777
Fax
(703) 753-4677
NPI assigned
Aug 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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

Authorized official

Name
Dr. Madueke Ethelberth EkohNPI 1164616272
Title
Owner/Orthodontist
Phone
(703) 753-4777

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
Dental Clinic/Center 261QD0000X 0401411793 VA Primary

Addresses

Primary practice location

14634 Lee Highway
Gainesville, VA 20155

Mailing address

14634 Lee Highway
Gainesville, VA 20155
Phone (703) 753-4777

National Provider Directory

National Provider Directory

Locations

14634 Lee Hwy
Gainesville, VA 20155
Phone (703) 753-4777

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": "1219363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1790932507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14634 LEE HIGHWAY",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "20155",
            "telephone_number": "703-753-4777",
            "fax_number": "703-753-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14634 LEE HIGHWAY",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "20155",
            "telephone_number": "703-753-4777",
            "fax_number": "703-753-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEEM ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-22",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "EKOH",
        "authorized_official_first_name": "MADUEKE",
        "authorized_official_middle_name": "ETHELBERTH",
        "authorized_official_title_or_position": "OWNER/ORTHODONTIST",
        "authorized_official_telephone_number": "703-753-4777",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401411793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.