NPIMap

Organization Active NPI

Ellis & Lindgren Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Annandale, VA
National Provider Identifier
1902378557
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
ELLIS & LINDGREN ORTHODONTICS PLLC
Practice address
4600 John Marr Dr Ste 401
Annandale, VA 22003-3310
Phone
(703) 750-9393
NPI assigned
Dec 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Authorized official

Name
Dr. Meghan Lindgren, DDS
Title
Partner
Phone
(703) 750-9393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

4600 John Marr Dr Ste 401
Annandale, VA 22003-3310

Mailing address

4600 John Marr Dr Ste 401
Annandale, VA 22003-3310
Phone (703) 750-9393

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545264000000",
    "number": "1902378557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 JOHN MARR DR STE 401",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033310",
            "telephone_number": "703-750-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 JOHN MARR DR STE 401",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033310",
            "telephone_number": "703-750-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS & LINDGREN ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-20",
        "last_updated": "2018-12-20",
        "status": "A",
        "authorized_official_last_name": "LINDGREN",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "703-750-9393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.