Active NPI
Breanna Donald, DMD
- Pediatric Dentistry
- Lansdowne, VA
National Provider Identifier
1447706601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 0401417260
- Practice address
- 19465 Deerfield Ave Ste 302
Lansdowne, VA 20176-1705 - Phone
- (703) 726-3030
- NPI assigned
- Aug 28, 2016
- Last updated
- Apr 6, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1857357 | MA | |
| Dentist | 122300000X | DS041032 | PA | |
| Pediatric Dentistry | 1223P0221X | DN1857357 | MA | |
| Pediatric Dentistry | 1223P0221X | DS041032 | PA | |
| Pediatric Dentistry | 1223P0221X | DEN1002178 | DC | |
| Pediatric Dentistry | 1223P0221X | 0401417260 | VA | Primary |
Addresses
Primary practice location
19465 Deerfield Ave Ste 302
Lansdowne, VA 20176-1705
Mailing address
2401 Terrett Ave
Alexandria, VA 22301-1148
Phone (571) 215-7470
Other practice location 1
240 Geiger Rd
Philadelphia, PA 19115-1008
Phone (215) 464-2411
Other practice location 2
4200 Wisconsin Ave NW Ste 240
Washington, DC 20016-2175
Phone (202) 545-7200
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 |
|---|---|---|---|
| DN1857357 | MA | MD | Dentist |
| DS041032 | PA | MD | Dentist |
| DEN1002178 | DC | MD | Pediatric Dentist |
| 0401417260 | VA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Pearls Dentistry for Children, PC | Pediatric Dentistry | Past | Accepting new patients |
| Capital Kids Dentistry LLC | Pediatric Dentistry | 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.
-
- Pediatric Dentistry
- Lansdowne, VA
- NPI 1588154330
-
- Pediatric Dentistry
- Washington, DC
- NPI 1629451430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743897600000",
"number": "1447706601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 TERRETT AVE",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223011148",
"telephone_number": "571-215-7470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19465 DEERFIELD AVE STE 302",
"city": "LANSDOWNE",
"state": "VA",
"postal_code": "201761705",
"telephone_number": "703-726-3030"
}
],
"practiceLocations": [
{
"address_1": "240 Geiger Rd",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191151008",
"country_code": "US",
"telephone_number": "215-464-2411",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4200 Wisconsin Ave NW Ste 240",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200162175",
"country_code": "US",
"telephone_number": "202-545-7200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DONALD",
"first_name": "BREANNA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-28",
"last_updated": "2025-04-06",
"certification_date": "2025-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1857357",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS041032",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MA",
"license": "DN1857357",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PA",
"license": "DS041032",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "DC",
"license": "DEN1002178",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "VA",
"license": "0401417260",
"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 Apr 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.