AMMAR ORTHODONTICS PLLC (NPI# 1386137271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386137271 |
| Entity Type | Organization |
| Organization Name | AMMAR ORTHODONTICS PLLC |
| Other Organization Name | ELITE ORTHODONTICS |
| Practice Address |
11702 Fiar Oaks Mall Upper Floor Fairfax VA 22033 |
| Practice Telephone | 5714265788 |
| Mailing Telephone | 5714265788 |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-06-14 |
| Authorized Official Name | DR. AMMAR AL-MAHDI (ORTHODONTIST/OWNER) |
| Authorized Official Telephone | 5714265788 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
0401415218 | VA | Dental Providers |
| Other Name | Type Code |
|---|---|
| ELITE ORTHODONTICS | Doing Business As Name - Organization |
| Street Address |
11702 FIAR OAKS MALL UPPER FLOOR |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| 1982975249 | Ian De Vocht | Specialist/Technologist, Other | 12011 Lee Jackson Memorial Hwy Ste 501, Fairfax, VA 22033 | 2012-01-18 |
| Find all providers in zip 22033 | ||||
| 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 |
|---|---|---|---|---|
| 1235585936 | Ji Youn Lim | Dentist | 4210 Fairfax Corner Ave W Ste 245, Fairfax, VA 22030-8627 | 2016-05-11 |
| 1740616275 | Ignacio Blasi Beriain Jr. | Dentist | 3224 Cambridge Ct, Fairfax, VA 22030-1912 | 2013-09-16 |
| 1467779900 | Eunyoung Kim | Dentist | 10522 Rosehaven St, 113, Fairfax, VA 22030-2860 | 2010-04-23 |
| 1891931143 | Christine Kim | Dentist | 10614 Warwick Ave Ste B, Fairfax, VA 22030-3060 | 2008-12-16 |
| 1285788810 | James M Mcdonough | Dentist | 9508b Lee Hwy, Fairfax, VA 22031-2303 | 2007-01-22 |
| 1447707260 | Eric Jihun Kim | Dentist | 10611 Braddock Rd, Fairfax, VA 22032-2201 | 2016-09-09 |
| 1285807370 | My Braces Doctor, PC | Dentist | 10721 Main St, #300, Fairfax, VA 22030-6914 | 2008-04-09 |
| 1598958142 | Jade Tran | Dentist | 4211 Fairfax Corner Ave E, Suite 235, Fairfax, VA 22030-8622 | 2007-08-27 |
| 1235339466 | Sora Lee | Dentist | 11230 Waples Mill Rd, 160, Fairfax, VA 22030-6087 | 2007-07-25 |
| 1306917604 | Garret Djeu | Dentist | 10875 Main St, #106, Fairfax, VA 22030-4732 | 2006-11-10 |
| Find all providers in FAIRFAX | ||||
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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.