OrganizationActive
Fairfax Orthodontic Associates, PLLC
NPI 1497979504 · Preferred Provider Organization · Fairfax, VA
Provider details
- NPI number
- 1497979504
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Lucy Mccabe, Administrator(703) 719-5828
- License
- 0401007980 (VA)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12011 Lee Jackson Memorial Hwy
Fairfax, VA 22033-3310
Phone: (703) 691-9061
Street-level locationGet directions
Mailing address
12011 Lee Jackson Memorial Hwy
Fairfax, VA 22033-3310
Registry dates
- Enumerated
- 2007-04-12
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.