Individual provider Active NPI

Anita Oluwaseun Bibilari

  • Dental Hygienist
  • Glen Allen, VA
National Provider Identifier
1831986892
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
0402208377 Issued in VA
Practice address
10140 Staples Mill Rd
Glen Allen, VA 23060-3216
Phone
(804) 672-4900
NPI assigned
Apr 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 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 0402208377 VA Primary

Addresses

Primary practice location

10140 Staples Mill Rd
Glen Allen, VA 23060-3216

Mailing address

10140 Staples Mill Rd
Glen Allen, VA 23060-3216
Phone (804) 672-4900

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
0402208377VAMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1831986892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10140 STAPLES MILL RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603216",
            "telephone_number": "804-672-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10140 STAPLES MILL RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603216",
            "telephone_number": "804-672-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIBILARI",
        "first_name": "ANITA",
        "middle_name": "OLUWASEUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "VA",
            "license": "0402208377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.