Allison Lawrence Ellis, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

050449-01 Issued in NY

Practice address

6858 Old Dominion Dr
Suite 100
MC Lean, VA 22101-3899

Phone

(703) 356-8781

NPI assigned

Mar 30, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Dr. Mark Luposello and Dr. Robert Marzban

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • MC Lean, VA
  • NPI 1720279961
  NPD (past)

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1285166017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 TERRACE AVE",
            "city": "RIVERSIDE",
            "state": "CT",
            "postal_code": "068782124",
            "telephone_number": "703-969-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6858 OLD DOMINION DR",
            "address_2": "SUITE 100",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013899",
            "telephone_number": "703-356-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "ALLISON",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": "13003",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "050449-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elan Fitness and Nutrition
• Iynas Elfadil, RPH
• Mohamed Elgazzar
• Jenifer Rebecca Elkus, PSY.D.
• Kelly Murphy Ellington, RD
• Meghan C Ello, M.S., BCBA
• Elm and Serenity LLC
• Karim Elmahri, PHARMD
• Embark Counseling & Consultation Services LLC
• Embark Counseling & Consultation Services LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.

Verify at the official NPI Registry.