NPIMap

Elite Dental

Organization Active NPI General Practice Dentistry · Arlington, VA

NPI 1497101240 · NPPES record last updated May 11, 2016

Key facts

NPI
1497101240
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
0401412031 (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
Organization subpart
No

Authorized official

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 1223G0001X 0401412031 VA Yes
General Practice Dentistry
Group: 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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 11, 2016.

{
    "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

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Sources for this page

Verify at the official NPI Registry.