Potomac Falls Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

401411350 Issued in VA

Legal business name

POTOMAC FALLS ORTHODONTICS

Doing business as

Potomac Falls Orthodontics

Practice address

46950 Jennings Farm Dr
Suite 160
Sterling, VA 20164-8679

Phone

(703) 430-2767

NPI assigned

Apr 10, 2015

Last updated

Mar 31, 2017By 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

Neal Kravitz

Title

Owner

Phone

(703) 638-2467

Specialties & licenses 1

Addresses

Other names 1

• Potomac Falls Orthodontics Doing business as

Tax ID family

Kravitz Orthodonitcs2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kravitz Orthodonitcs

  • Dental Clinic/Center
  • Ashburn, VA
  • NPI 1285040501
  NPD tax ID

Locations

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1942696513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46950 JENNINGS FARM DR",
            "address_2": "SUITE 160",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201648679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46950 JENNINGS FARM DR",
            "address_2": "SUITE 160",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201648679",
            "telephone_number": "703-430-2767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC FALLS ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-10",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "KRAVITZ",
        "authorized_official_first_name": "NEAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-638-2467"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "401411350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Potomac Falls Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalie Fay Points
• Lauren Ashley Poole
• Hannah Foster Portell
• Nichelle Traxler Porto, ATC
• Rosetta R Posey
• Potomac Family and Sports Chiropractic Center Inc
• Potomac Speech, LLC
• Potomac Wellness
• Potomacaba PLLC (PotomacABA)
• Mojgan Pourakbar

• Orthodontics and Dentofacial Orthopedics Dentistry in Sterling, VA
• Providers in Sterling, VA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.