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
Last updated
Jun 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Authorized official

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.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X Primary

Addresses

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

National Provider Directory

National Provider Directory

Locations

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

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

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "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": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_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.