Individual provider Active NPI

Amanda Marcela Vilenio, DDS

  • General Practice Dentistry
  • Woodbridge, VA
National Provider Identifier
1407733090
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401419754 Issued in VA
Practice address
4893 Prince William Pkwy Ste 101
Woodbridge, VA 22192-5404
Phone
(703) 291-4394
NPI assigned
Aug 18, 2025
Last updated
Mar 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401419754 VA Primary

Addresses

Primary practice location

4893 Prince William Pkwy Ste 101
Woodbridge, VA 22192-5404

Mailing address

5503 Teak CT
Alexandria, VA 22309-4218
Phone (703) 975-9605

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401419754VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tran & Le DDS LLC General Practice CurrentSince Aug 25, 2025 Accepting new patients

Locations

13019 Wisteria Dr
Germantown, MD 20874
Phone (301) 567-7269

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1407733090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5503 TEAK CT",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223094218",
            "telephone_number": "703-975-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4893 PRINCE WILLIAM PKWY STE 101",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925404",
            "telephone_number": "703-291-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILENIO",
        "first_name": "AMANDA",
        "middle_name": "MARCELA",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-18",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401419754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.