Brightwhites, P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

0401412187 Issued in VA

Legal business name

BRIGHTWHITES, P.C.

Practice address

6214 Old Franconia Rd Ste a
Alexandria, VA 22310-3400

Phone

(703) 719-6158

NPI assigned

Jun 15, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Brigitte White Zivkovic, DMDNPI 1205026283

Title

President

Phone

(703) 719-6158

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brigitte White Zivkovic, D.M.D.

  • General Practice Dentistry
  • Alexandria, VA
  • NPI 1205026283
  NPD Authorized official

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497484800000",
    "number": "1871023507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 CALICO POOL LN",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220153704",
            "telephone_number": "703-508-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6214 OLD FRANCONIA RD STE A",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103400",
            "telephone_number": "703-719-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTWHITES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2017-06-15",
        "status": "A",
        "authorized_official_last_name": "ZIVKOVIC",
        "authorized_official_first_name": "BRIGITTE",
        "authorized_official_middle_name": "WHITE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-719-6158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401412187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL DENTIST",
            "identifier": "1205026283",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brighter New Life LLC
• Brighter Side Therapy LLC
• Brightness in the Rain Counseling Services, LLC
• Brightview Alexandria, LLC
• Brightwhites Dental PLLC
• Isabella Brim
• Lee Michael Britton
• Alicia Broadus-Duckworth, LCSW
• Ethan Brock
• Mercedes Brock

• Dental Clinic/Center in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; 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.