Elevate Oral Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ELEVATE ORAL SURGERY

Practice address

131 Elden St Ste 300
Herndon, VA 20170-4851

Phone

(703) 689-3900

Fax

(703) 689-3903

NPI assigned

Feb 17, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Tamer Elhady, DMDNPI 1144380650

Title

General Partner

Phone

(703) 980-2475

Specialties & licenses 1

Addresses

Other names 1

• Elevate Oral Surgery Doing business as

Locations

Practitioners 2

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

• Tamer N. Elhady, D.M.D.

  • General Practice Dentistry
  • Fairfax, VA
  • NPI 1144380650
  NPD (past) Authorized official
• Joyce Boesel Freedman, D.D.S.,M.S.

  • General Practice Dentistry
  • Herndon, VA
  • NPI 1336101708
  NPD (past)

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1861147993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 FAIR RIDGE DR STE 215",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 ELDEN ST STE 300",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704851",
            "telephone_number": "703-689-3900",
            "fax_number": "703-689-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "ELHADY",
        "authorized_official_first_name": "TAMER",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "703-980-2475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elevate Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melanie Elan, DPT
• Elden St. Pediatrics
• Catherine Cole Elder, NP
• Rachel Eldering, RDN, LDN
• Elevate Concierge Physical Therapy, PLLC
• Elhady Dental PLLC
• Elham Safari D.D.S., P.C.
• Elizabeth M Weaver, M.D., P.L.C.
• Ellen Edwards, PLLC
• Stephanie H Elmaleh, PT, DPT

• Oral and Maxillofacial Surgery (Dentist) in Herndon, VA
• Providers in Herndon, VA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.