Organization Active NPI

Elite Pediatrics Dentistry & Orthodontics PPLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bealeton, VA
National Provider Identifier
1992553093
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
ELITE PEDIATRICS DENTISTRY & ORTHODONTICS PPLC
Practice address
11836 Hall Street
Bealeton, VA 22712
Phone
(540) 251-4045
NPI assigned
May 13, 2024
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ammar Al-Mahdi, DDSNPI 1578981866
Title
Orthodontist
Phone
(540) 251-4045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 2

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

National Provider Directory

National Provider Directory

Locations

11836 Hall St
Bealeton, VA 22712
Phone (540) 251-4045

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

NPPES NPI Registry

Primary practice location

11836 Hall Street
Bealeton, VA 22712

Mailing address

6565 Arlington Blvd Ste 501
Falls Church, VA 22042-3018
Phone (703) 534-8711

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 18, 2025.

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1992553093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 ARLINGTON BLVD STE 501",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423018",
            "telephone_number": "703-534-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11836 HALL STREET",
            "city": "BEALETON",
            "state": "VA",
            "postal_code": "22712",
            "telephone_number": "540-251-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PEDIATRICS DENTISTRY & ORTHODONTICS PPLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "AL-MAHDI",
        "authorized_official_first_name": "AMMAR",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "540-251-4045",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bealeton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.