Individual provider Active NPI

Breanna Donald, DMD

  • Pediatric Dentistry
  • Lansdowne, VA
National Provider Identifier
1447706601
Registry record updated Apr 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
0401417260 Issued in VA
Practice address
19465 Deerfield Ave Ste 302
Lansdowne, VA 20176-1705
Phone
(703) 726-3030
NPI assigned
Aug 28, 2016
Last updated
Apr 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DN1857357MAMDDentist
DS041032PAMDDentist
DEN1002178DCMDPediatric Dentist
0401417260VAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Little Pearls Dentistry for Children, PC Pediatric Dentistry PastSince Apr 13, 2025 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.

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.

Verify at the official NPI Registry.