Active NPI
Tonya Rae Mortensen, RDH
- Dental Hygienist
- Spotsylvania, VA
National Provider Identifier
1538779012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 0402207909
- Practice address
- 5205 Courthouse Rd
Spotsylvania, VA 22551-6390 - Phone
- (540) 865-7330
- NPI assigned
- Aug 9, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 0402207909 | VA | Primary |
Addresses
Primary practice location
5205 Courthouse Rd
Spotsylvania, VA 22551-6390
Mailing address
5205 Courthouse Rd
Spotsylvania, VA 22551-6390
Phone (540) 895-7330
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@piedmontdentallakeanna.com |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0402207909 | VA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596931200000",
"number": "1538779012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5205 COURTHOUSE RD",
"city": "SPOTSYLVANIA",
"state": "VA",
"postal_code": "225516390",
"telephone_number": "540-895-7330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5205 COURTHOUSE RD",
"city": "SPOTSYLVANIA",
"state": "VA",
"postal_code": "225516390",
"telephone_number": "540-865-7330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORTENSEN",
"first_name": "TONYA",
"middle_name": "RAE",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-09",
"last_updated": "2020-08-09",
"certification_date": "2020-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "VA",
"license": "0402207909",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@piedmontdentallakeanna.com",
"affiliation": "N",
"address_1": "5205 Courthouse Rd",
"city": "Spotsylvania",
"state": "VA",
"country_code": "US",
"postal_code": "225516390",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Spotsylvania, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.