DONG-PHUONG T LY D.M.D.
NPI 1215071840
Dentist in Arlington, VA

Active since February 16, 2007Opted out of Medicare · through Feb 10, 2028
200 N GLEBE RD, SUITE 225, ARLINGTON, VA 22203(703) 248-1111 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dong-phuong T Ly D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DONG-PHUONG T LY D.M.D. (NPI 1215071840) is an individual dentist in Arlington, Virginia, licensed in Virginia (0401410253) and active in the NPI registry since February 2007. She has opted out of Medicare through February 10, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1215071840
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDONG-PHUONG T LYCredential: D.M.D.
Location Address200 N GLEBE RD, SUITE 225Arlington, VA 22203-3728
Mailing Address200 N Glebe Rd, Suite 225Arlington, VA 22203-3728 · (703) 248-1111
Sole ProprietorYes
Enumeration DateFebruary 16, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1215071840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in VA · 0401410253
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

200 N GLEBE RD, Arlington, VA 22203

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dong-phuong T Ly D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 10, 2016 through February 10, 2028.

Opt-Out Effective DateFebruary 10, 2016
Opt-Out In Effect ThroughFebruary 10, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
200 N GLEBE RD, SUITE 1050
ARLINGTON, VA 22203
Community/Behavioral Health
200 N GLEBE RD, SUITE 250
ARLINGTON, VA 22203
Counselor (Addiction (Substance Use Disorder))
200 N GLEBE RD, SUITE 104
ARLINGTON, VA 22203
Social Worker (Clinical)
200 N GLEBE RD
ARLINGTON, VA 22203
Physical Therapist
200 N GLEBE RD
ARLINGTON, VA 22203
Physical Therapist (Orthopedic)
200 N GLEBE RD, SUITE 310
ARLINGTON, VA 22203
Internal Medicine (Sleep Medicine)
200 N GLEBE RD, SUITE 316
ARLINGTON, VA 22203
Counselor (Professional)
200 N GLEBE RD, SUITE 250
ARLINGTON, VA 22203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dong-phuong Ly's NPI number?

The NPI number for Dong-phuong Ly is 1215071840. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Where is Dong-phuong Ly located?

Dong-phuong Ly practices at 200 N Glebe Rd Suite 225, Arlington, VA 22203. The listed phone number is (703) 248-1111.

What is Dong-phuong Ly's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Dong-phuong Ly enrolled in Medicare?

No. Dong-phuong Ly has opted out of Medicare through February 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Dong-phuong Ly accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Dong-phuong Ly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dong-phuong Ly was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.