Individual provider Active NPI

Crystal Lynne Al-Eid, DDS

  • Dentist
  • Vienna, VA
National Provider Identifier
1497530034
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN30376 Issued in FL
Practice address
120 Beulah Rd NE Ste 120
Vienna, VA 22180-4745
Phone
(703) 938-2000
NPI assigned
Aug 30, 2023
Last updated
Jul 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401418618 VA
Dentist 122300000X DN30376 FL Primary

Addresses

Primary practice location

120 Beulah Rd NE Ste 120
Vienna, VA 22180-4745

Mailing address

4403 Twin Knolls CT
Alexandria, VA 22312-1552
Phone (571) 484-4388

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
DN30376FLMDDentist
0401418618VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Professionals of Virginia, P.C. CurrentSince Sep 5, 2023 Accepting new patients

Locations

13045 Route 50
Fairfax, VA 22033
Phone (571) 295-4171

120 Beulah Rd NE
Vienna, VA 22180
Phone (703) 938-2000

120 Beulah Rd NE
Ste 120
Vienna, VA 22180
Phone (703) 938-2000

Organizations & group practices 1

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": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1497530034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 TWIN KNOLLS CT",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223121552",
            "telephone_number": "571-484-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BEULAH RD NE STE 120",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804745",
            "telephone_number": "703-938-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-EID",
        "first_name": "CRYSTAL",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-30",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401418618",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN30376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.