Active NPI
Walter Francis Rongey, DMD
- General Practice Dentistry
- Temple, TX
National Provider Identifier
1073571493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019-020725
- Practice address
- 205 Kasberg Dr
Temple, TX 76502-6342 - Phone
- (254) 654-0578
- NPI assigned
- May 3, 2006
- Last updated
- Apr 19, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019-020725 | IL | Primary |
Addresses
Primary practice location
205 Kasberg Dr
Temple, TX 76502-6342
Mailing address
Illiana VA Medical Center, Dental Service
1900 E. Main Street
Danville, IL 61832
Phone (217) 554-5859
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019-020725 | IL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461024000000",
"number": "1073571493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ILLIANA VA MEDICAL CENTER, DENTAL SERVICE",
"address_2": "1900 E. MAIN STREET",
"city": "DANVILLE",
"state": "IL",
"postal_code": "61832",
"telephone_number": "217-554-5859",
"fax_number": "217-554-5863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 KASBERG DR",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765026342",
"telephone_number": "254-654-0578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RONGEY",
"first_name": "WALTER",
"middle_name": "FRANCIS",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2016-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019-020725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.