Elite Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ELITE DENTAL

Practice address

1025 N Fillmore St Ste C
Arlington, VA 22201-6700

Phone

(703) 243-4500

NPI assigned

Apr 24, 2017

Last updated

Apr 24, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie Gomez

Title

Credentialing Coordinator

Phone

(305) 274-2499

Specialties & licenses 1

Addresses

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.

• Scott Branin Dudley, DMD, MSED, FAGD

  • Dentist
  • Arlington, VA
  • NPI 1336134048
  NPD (past)
• Alyssa Hartman, DDS

  • Dentist
  • Arlington, VA
  • NPI 1679969653
  NPD (past)

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1669907036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 N FILLMORE ST STE C",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222016700",
            "telephone_number": "703-243-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 N FILLMORE ST STE C",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222016700",
            "telephone_number": "703-243-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "305-274-2499"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rama Elawad
• Archibald Jenald Elba
• Electrodiagnostic Associates
• Elevated Outcomes, Inc
• Elite Dental
• Elite OB/GYN
• Joan Elliott
• John Jeffrey Elliott, MD
• Timothy Elliott, LCSW
• Andy D Ellis, HS2

• Dentist in Arlington, VA
• Providers in Arlington, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.