Active NPI
Mohamed Elashaal
- Dentist
- Herndon, VA
National Provider Identifier
1134964943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401419806
- Practice address
- 1141 Elden St FL 3
Herndon, VA 20170-5549 - Phone
- (703) 443-2000
- NPI assigned
- Jun 25, 2024
- Last updated
- Oct 7, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401419806 | VA | Primary |
Addresses
Primary practice location
1141 Elden St FL 3
Herndon, VA 20170-5549
Mailing address
151 Tremont St Apt 11D
Boston, MA 02111-1110
Phone (703) 909-3771
Other practice location 1
6182 Old Franconia Rd
Alexandria, VA 22310-2592
Phone (703) 804-8008
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0401419806 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sara Elashaal DMD PLLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1719273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791331200000",
"number": "1134964943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 TREMONT ST APT 11D",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111110",
"telephone_number": "703-909-3771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 ELDEN ST FL 3",
"city": "HERNDON",
"state": "VA",
"postal_code": "201705549",
"telephone_number": "703-443-2000"
}
],
"practiceLocations": [
{
"address_1": "6182 Old Franconia Rd",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "223102592",
"country_code": "US",
"telephone_number": "703-804-8008",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELASHAAL",
"first_name": "MOHAMED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-25",
"last_updated": "2026-10-07",
"certification_date": "2026-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401419806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.