NPIMap

Organization Active NPI

Elite Dental

  • General Practice Dentistry
  • Arlington, VA
National Provider Identifier
1497101240
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401412031 Issued in VA
Legal business name
ELITE DENTAL
Practice address
1025 N Fillmore St
C
Arlington, VA 22201-6701
Phone
(703) 243-4500
Fax
(703) 243-4700
NPI assigned
May 11, 2016
Last updated
May 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Authorized official

Name
Anne Weih, MHA
Title
Coo
Phone
(703) 577-4317

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 0401412031 VA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 0401414811 VA

Addresses

Primary practice location

1025 N Fillmore St
C
Arlington, VA 22201-6701

Mailing address

1025 N Fillmore St
C
Arlington, VA 22201-6701
Phone (703) 243-4500

National Provider Directory

National Provider Directory

Locations

1025 N Fillmore St
Ste C
Arlington, VA 22201
Phone (703) 243-4500

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1497101240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 N FILLMORE ST",
            "address_2": "C",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222016701",
            "telephone_number": "703-243-4500",
            "fax_number": "703-243-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 N FILLMORE ST",
            "address_2": "C",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222016701",
            "telephone_number": "703-243-4500",
            "fax_number": "703-243-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "WEIH",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "703-577-4317",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412031",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401414811",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.