Individual provider Active NPI

Billie Eileen Vonengeln, RDH, MS

  • Dental Hygienist
  • Ft. Myer, VA
National Provider Identifier
1891045266
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
0402207780 Issued in VA
Practice address
Andrew Rader Dental Clinic
401 Carpenter Rd. BLDG. 525
Ft. Myer, VA 22211
Phone
(703) 696-3460
NPI assigned
Sep 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 903185 CO
Dental Hygienist 124Q00000X 101139 NV
Dental Hygienist 124Q00000X 0402207780 VA Primary

Addresses

Primary practice location

Andrew Rader Dental Clinic
401 Carpenter Rd. BLDG. 525
Ft. Myer, VA 22211

Mailing address

Andrew Rader Dental Clinic
401 Carpenter Rd. BLDG. 525
Ft. Myer, VA 22211
Phone (703) 696-3460

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
903185COMDDental Hygienist
101139NVMDDental Hygienist
0402207780VAMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1891045266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ANDREW RADER DENTAL CLINIC",
            "address_2": "401 CARPENTER RD. BLDG. 525",
            "city": "FT. MYER",
            "state": "VA",
            "postal_code": "22211",
            "telephone_number": "703-696-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ANDREW RADER DENTAL CLINIC",
            "address_2": "401 CARPENTER RD. BLDG. 525",
            "city": "FT. MYER",
            "state": "VA",
            "postal_code": "22211",
            "telephone_number": "703-696-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONENGELN",
        "first_name": "BILLIE",
        "middle_name": "EILEEN",
        "name_prefix": "Ms.",
        "credential": "RDH, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "903185",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NV",
            "license": "101139",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "VA",
            "license": "0402207780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft. Myer, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.