POTOMAC FALLS ORTHODONTICS (NPI# 1942696513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942696513 |
| Entity Type | Organization |
| Organization Name | POTOMAC FALLS ORTHODONTICS |
| Other Organization Name | POTOMAC FALLS ORTHODONTICS |
| Practice Address |
46950 Jennings Farm Dr Suite 160 Sterling VA 20164-8679 |
| Practice Telephone | 7034302767 |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2017-03-31 |
| Authorized Official Name | NEAL KRAVITZ (OWNER) |
| Authorized Official Telephone | 7036382467 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
401411350 | VA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Potomac Falls Orthodontics | Doing Business As Name - Organization |
| Street Address |
46950 JENNINGS FARM DR SUITE 160 |
| City | STERLING |
| State | VA |
| Zip Code | 20164-8679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700877248 | Emmanuel George Skordalakis | Dentist | 46950 Jennings Farm Dr, Suite 160, Sterling, VA 20164-8679 | 2005-11-03 |
| 1477869402 | I-fang Tsai | Dentist | 46950 Jennings Farm Dr, Suite 160, Sterling, VA 20164-8679 | 2010-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255962239 | Ying Jiu Liu | Acupuncturist | 45665 W Church Rd #110 Stering, Stering, VA 20164 | 2020-01-29 |
| 1417599986 | Nab Homecare, Inc. | In Home Supportive Care | 45640 Willow Pond Plaza, Suite 100, Sterling, VA 20164 | 2019-10-16 |
| 1962905323 | Grace A Oluwadiya | Registered Nurse | 21335 Signal Hill Plaza, Suite 270, Sterling, VA 20164 | 2018-03-13 |
| 1922468602 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 21399 Epicerie Plaza, Sterling, VA 20164 | 2016-02-24 |
| 1942625603 | Totalmobility LLC | Durable Medical Equipment & Medical Supplies | 201 Davis Drive, Suite Nn, Sterling, VA 20164 | 2014-03-04 |
| 1346689189 | Traci Collier | Pharmacist | 22375 Davis Dr, Sterling, VA 20164 | 2013-06-14 |
| 1770842536 | Costco Pharmacy 218 | Clinic/Center | 21398 Price Cascades Plaza, Sterling, VA 20164 | 2012-05-14 |
| 1922371426 | Totalmobility, LLC | Durable Medical Equipment & Medical Supplies | 111k Carpenter Drive, Sterling, VA 20164 | 2012-02-14 |
| 1750676789 | Sheikh M Rasul | Pharmacist | 20600 Great Falls Plaza, Sterling, VA 20164 | 2011-06-17 |
| 1932260114 | Veena Railan | Family Medicine | 101 E.holly Avenue, Unit 9, Sterling, VA 20164 | 2006-12-12 |
| Find all providers in zip 20164 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366598526 | Theodore Lee Moss | Dentist | 804 Freeport Rd, Sterling, IL 61081-3028 | 2007-01-28 |
| 1255412797 | John H. Jones IIi | Dentist | 20 Pidgeon Hill Drive, Suite 206, Sterling, VA 20165-6134 | 2006-10-18 |
| 1083703128 | Shadi Saba | Dentist | 21155 Whitfield Place, Suite 107, Sterling, VA 20165 | 2006-10-12 |
| 1912917386 | William Robert Southworth | Dentist | 225 Leominster Road, Sterling, MA 01564 | 2006-08-09 |
| 1932471869 | John Jones, Dds | Dentist | 20 Pidgeon Hill Dr, Suite 206, Sterling, VA 20165-6154 | 2012-02-08 |
| 1023202942 | Terryl A. White | Dentist | 20 Pidgeon Hill Dr, Suite 207, Sterling, VA 20165-6154 | 2007-09-04 |
| 1265588420 | Theodore L Moss Dmd Ms PC | Dentist | 804 Freeport Rd, Sterling, IL 61081-3028 | 2007-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841804911 | Justin Groody | Dentist | 900 N 24th St, Richmond, VA 23223-6412 | 2020-09-04 |
| 1609484047 | Nicholas Mcchesney Lynch | Dentist | 520 N 12th St Rm 111, Richmond, VA 23298-5064 | 2020-07-22 |
| 1861021131 | Bailey Orthodontics Pllc | Dentist | 16446 Navigation Drive, Woodbridge, VA 22191 | 2020-04-07 |
| 1649813163 | Ki Youn Kil | Dentist | 800 W Broad St Ste 307, Falls Church, VA 22046-3145 | 2019-10-28 |
| 1811548605 | Morgan Orthodontics | Dentist | 1841 Plaza Dr, Winchester, VA 22601-6365 | 2019-09-24 |
| 1770140030 | M Kent Kiser, Dds, Ltd | Dentist | 1151 E Main St Ste C, Radford, VA 24141-1761 | 2019-05-22 |
| 1679137608 | Deirdre Maull | Dentist | 6845 Elm St Ste 505, Mc Lean, VA 22101-3822 | 2019-04-25 |
| 1629541560 | C William Dabney, PC | Dentist | 304 Browns Hill Ct, Midlothian, VA 23114-9511 | 2019-01-03 |
| 1356819981 | Novicare Orthodontics Pllc | Dentist | 717 Pendleton St, Alexandria, VA 22314-1820 | 2018-11-13 |
| 1912473505 | Jessica Thai | Dentist | 25055 Riding Plz Ste 110, Chantilly, VA 20152-5918 | 2018-10-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.