Wael M. Elosta PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

0401412058 Issued in VA

Legal business name

WAEL M. ELOSTA PLLC

Practice address

19415 Deerfield Ave Ste 309
Lansdowne, VA 20176-8472

Phone

(703) 729-1818

NPI assigned

Mar 10, 2014

Organization subpart

No

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

Authorized official

Name

Wael Elosta, DDSNPI 1285729228

Title

Owner

Phone

(763) 221-4222

Specialties & licenses 1

Addresses

Other names 1

• Lansdowne cosmetic and implant dentistry Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wael M Elosta, DDS

  • General Practice Dentistry
  • Leesburg, VA
  • NPI 1285729228
  NPD (past) Authorized official
• Reza Nikpourfard, D.D.S.

  • General Practice Dentistry
  • Prince Frederick, MD
  • NPI 1154499598
  NPD (past)

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1154747541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19415 DEERFIELD AVE STE 309",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768472",
            "telephone_number": "703-729-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19415 DEERFIELD AVE STE 309",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768472",
            "telephone_number": "703-729-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAEL M. ELOSTA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "ELOSTA",
        "authorized_official_first_name": "WAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-221-4222",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401412058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lansdowne cosmetic and implant dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Virginia Eye Center P.C.
• Virginia Eye Center, PC
• Virginia Head and Neck Surgeons PC
• Alexis Jacqueline Vogl, PA-C
• W. Townes Lea, DDS, PC
• Carolyn M Walsh, MD
• Anita Nanda Wasan, M.D.
• Sanjeev Madanlal Wasan, MD
• William Wells, RN
• Jeffrey Derrick White, M.D.

• Dental Clinic/Center in Lansdowne, VA
• Providers in Lansdowne, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.