Gary Ellenbogen, D.D.S.
NPI 1770653495 · General Practice Dentistry · Vienna, VA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gary Ellenbogen, D.D.S. is a General Practice Dentistry provider in Vienna, VA (NPI 1770653495).
Provider details
- NPI number
- 1770653495
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 5562 (VA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-09
- Last updated
- 2013-09-11
Frequently asked questions
- What is Gary Ellenbogen's NPI number?
- Gary Ellenbogen's National Provider Identifier (NPI) is 1770653495, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gary Ellenbogen's specialty?
- Gary Ellenbogen is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Gary Ellenbogen located?
- Gary Ellenbogen's practice location on file with NPPES is 8100 Boone Blvd, Vienna, VA 22182-2665.
- What is Gary Ellenbogen's phone number?
- The practice phone number listed in the NPPES registry for Gary Ellenbogen is (703) 734-1095.
- Does Gary Ellenbogen accept Medicare?
- Gary Ellenbogen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gary Ellenbogen's NPI active?
- Yes — Gary Ellenbogen's NPI (1770653495) is active in the NPPES registry as of the last update on 2013-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.