Individual provider Active NPI

Starlene Ronkainen

  • Dental Hygienist
  • California, MD
National Provider Identifier
1659188704
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
7687 Issued in MD
Practice address
23076 Three Notch Rd Ste 203
California, MD 20619-2491
Phone
(240) 349-5000
NPI assigned
Dec 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 7687 MD Primary

Addresses

Primary practice location

23076 Three Notch Rd Ste 203
California, MD 20619-2491

Mailing address

22646 Sylvan Way
Lexington Park, MD 20653-2109

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
7687MDMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Castle Pediatric Dentistry, LLC CurrentSince Dec 15, 2024 Accepting new patients

Locations

23076 Three Notch Rd
Ste 203
California, MD 20619
Phone (240) 349-5000

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": "1733961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1659188704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22646 SYLVAN WAY",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206532109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23076 THREE NOTCH RD STE 203",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206192491",
            "telephone_number": "240-349-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONKAINEN",
        "first_name": "STARLENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MD",
            "license": "7687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in California, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.