Individual provider Active NPI

Monica Alejandra Balvidares, DH

  • Dental Hygienist
  • Arlington, VA
National Provider Identifier
1710783246
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
30536 Issued in FL
Practice address
5500 Columbia Pike Ste a
Arlington, VA 22204-5867
Phone
(703) 671-5437
NPI assigned
Feb 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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 30536 FL Primary

Addresses

Primary practice location

5500 Columbia Pike Ste a
Arlington, VA 22204-5867

Mailing address

7775 Asterella CT
Springfield, VA 22152-3133
Phone (571) 231-0841

Other practice location 1

3650 S Glebe Rd Ste 180
Arlington, VA 22202-5605
Phone (571) 517-1495

Other practice location 2

100 SE 2nd St Ste 1300
Miami, FL 33131-2151
Phone (786) 460-2170

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
30536FLMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Apk Pediatric Smiles CurrentSince Mar 11, 2025 Accepting new patients
Fidel Dental Group PastSince Mar 11, 2025 Accepting new patients

Locations

5500 Columbia Pike
Ste A
Arlington, VA 22204
Phone (703) 671-5437

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1710783246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7775 ASTERELLA CT",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221523133",
            "telephone_number": "571-231-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 COLUMBIA PIKE STE A",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222045867",
            "telephone_number": "703-671-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3650 S Glebe Rd Ste 180",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222025605",
            "country_code": "US",
            "telephone_number": "571-517-1495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 SE 2nd St Ste 1300",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331312151",
            "country_code": "US",
            "telephone_number": "786-460-2170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALVIDARES",
        "first_name": "MONICA",
        "middle_name": "ALEJANDRA",
        "credential": "DH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "30536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.