Individual provider Active NPI

Paul David Ellington, DDS

  • Dentist
  • Lansdowne, VA
National Provider Identifier
1114047032
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
VA6974 Issued in VA
Practice address
44115 Woodridge Parkway, Suite 280
Lansdowne, VA 20176
Phone
(703) 858-2380
Fax
(703) 858-7001
NPI assigned
Apr 2, 2007
Last updated
Aug 23, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X VA6974 VA Primary

Addresses

Primary practice location

44115 Woodridge Parkway, Suite 280
Lansdowne, VA 20176

Mailing address

44115 Woodridge Pkwy Ste 280
Lansdowne, VA 20176-5199
Phone (703) 858-2380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
VA6974VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lansdowne Dentistry by Design, PLLC PastSince Dec 15, 2024 Accepting new patients
W. Townes Lea, DDS, PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1114047032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44115 WOODRIDGE PKWY STE 280",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201765199",
            "telephone_number": "703-858-2380",
            "fax_number": "703-858-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44115 WOODRIDGE PARKWAY, SUITE 280",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "20176",
            "telephone_number": "703-858-2380",
            "fax_number": "703-858-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLINGTON",
        "first_name": "PAUL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "VA6974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdowne, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.