Active NPI
Denise Elling
- Dental Hygienist
- Ashburn, VA
National Provider Identifier
1609107564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 0402204908
- Practice address
- 20955 Professional PLZ
Suite 110
Ashburn, VA 20147-3405 - Phone
- (703) 723-0014
- NPI assigned
- Jan 15, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 0402204908 | VA | Primary |
Addresses
Primary practice location
20955 Professional PLZ
Suite 110
Ashburn, VA 20147-3405
Mailing address
20955 Professional PLZ
Suite 110
Ashburn, VA 20147-3405
Phone (703) 723-0014
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 |
|---|---|---|---|
| 0402204908 | VA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reston Dental Group, PC | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263513600000",
"number": "1609107564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20955 PROFESSIONAL PLZ",
"address_2": "SUITE 110",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201473405",
"telephone_number": "703-723-0014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20955 PROFESSIONAL PLZ",
"address_2": "SUITE 110",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201473405",
"telephone_number": "703-723-0014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLING",
"first_name": "DENISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-15",
"last_updated": "2010-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "VA",
"license": "0402204908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.