Georgetown Orthodontics, PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

GEORGETOWN ORTHODONTICS, PLLC

Practice address

4434 Macarthur Blvd NW Ste 201
Washington, DC 20007-2550

Phone

(202) 333-2200

Fax

(202) 333-2260

NPI assigned

Jun 8, 2021

Last updated

Jun 8, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Heidi Blackwood, BA

Title

Administrator

Phone

(301) 802-4322

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 2

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.

• Michael Shanahan Blackwood, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Potomac, MD
  • NPI 1972735017
  NPD
• Maya Victoria Oliver, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mansfield, TX
  • NPI 1952615270
  NPD (past)

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1881261907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4434 MACARTHUR BLVD NW STE 201",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072550",
            "telephone_number": "202-333-2200",
            "fax_number": "202-333-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4434 MACARTHUR BLVD NW STE 201",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072550",
            "telephone_number": "202-333-2200",
            "fax_number": "202-333-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "BLACKWOOD",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "301-802-4322",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOCTOR NPI",
            "identifier": "1972735017",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@gtownortho.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4434 MacArthur Blvd NW Ste 201",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200072550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashley Georgescu
• Georgetown Dental Clinic, PC, Inc.
• Georgetown Dermatology PLLC
• Georgetown Neuropsychology LLC
• Georgetown Orand & Max Surgery
• Georgetown Psychology, P.C.
• Georgetown University
• Georgetown University (Counseling and Psychiatric Service)
• Georgetown University Hospital
• Georgetown University Hospital

• Orthodontics and Dentofacial Orthopedics Dentistry in Washington, DC
• Providers in Washington, DC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.