1. Home
  2. Directory
  3. Virginia
  4. Fairfax
  5. Dentist
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. HILARY KEITH PANDAK DDS
NPI 1417902800
Dentist - General Practice in Fairfax, VA

Active since May 23, 2006PECOS Enrolled
11208 WAPLES MILL RD, SUITE #101, FAIRFAX, VA 22030(703) 691-1511 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Hilary Keith Pandak Dds NPPES

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

DR. HILARY KEITH PANDAK DDS (NPI 1417902800) is an individual general practice provider in Fairfax, Virginia, licensed in Virginia (0401006507) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417902800
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. HILARY KEITH PANDAKCredential: DDS
Location Address11208 WAPLES MILL RD, SUITE #101Fairfax, VA 22030-6077
Mailing Address11208 Waples Mill Rd, Suite #101Fairfax, VA 22030-6077 · (703) 691-1511
Phone(703) 691-1511
Sole ProprietorNo
Enumeration DateMay 23, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1417902800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in VA · 0401006507
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
11208 WAPLES MILL RD, Fairfax, VA 22030
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Hilary Keith Pandak Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22030 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

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

DR. ROBERT EDWARD GATENS DDS
Dentist
11208 WAPLES MILL RD, STE 100
FAIRFAX, VA 22030
Fairfax City (703) 352-2073

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 Hilary Pandak's NPI number?

The NPI number for Hilary Pandak is 1417902800. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Hilary Pandak located?

Hilary Pandak practices at 11208 Waples Mill Rd Suite #101, Fairfax, VA 22030. The listed phone number is (703) 691-1511.

What is Hilary Pandak's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Hilary Pandak enrolled in Medicare?

Yes. Hilary Pandak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Hilary Pandak was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.