Hilary Keith Pandak, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401006507 Issued in VA

Practice address

11208 Waples Mill Rd
Suite #101
Fairfax, VA 22030-6077

Phone

(703) 691-1511

NPI assigned

May 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 30, 2014 through Jun 30, 2028

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.

• Tummarello and Pandak DDS, PC

  • General Practice Dentistry
  • Fairfax, VA
  • NPI 1437370384
  NPD (past) Authorized official

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1417902800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11208 WAPLES MILL RD",
            "address_2": "SUITE #101",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306077",
            "telephone_number": "703-691-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11208 WAPLES MILL RD",
            "address_2": "SUITE #101",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306077",
            "telephone_number": "703-691-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDAK",
        "first_name": "HILARY",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401006507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon K Palmer, PT
• Palmercare Chiropractic Fairfax City, Inc
• Palmercare Chiropractic Fairfax LLC
• Elizabeth Palumbo, M.D.
• David Panboon, APA-C
• Nithiyakalyani Panneerchelvam
• Jada Lee Pannell
• Albert Pannone, PT, DPT, ATC
• Arbind Pant
• Shannon Papoulias, RN, IBCLC

• General Practice Dentistry in Fairfax, VA
• Providers in Fairfax, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.