Patricia Villalta, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN 18711 Issued in FL

Practice address

1645 E Hwy 50
Clermont, FL 34711-5199

Phone

(954) 661-8608

NPI assigned

Mar 22, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430697600000",
    "number": "1013216605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9131 DOLLANGER CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328194064",
            "telephone_number": "954-661-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 E HWY 50",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115199",
            "telephone_number": "954-661-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALTA",
        "first_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-22",
        "last_updated": "2015-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN 18711",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "29480",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "10522",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janine Vigrass, SLP
• Rubens Vilce
• Jairy Villacreses
• Edegar Villalobos
• Valeria Villalobos, RBT
• Alexis Viola
• Vip Anesthesia
• Visionary Vanguard Group
• Vista Adult Family Care Home LLC
• Vista Clinical Diagnostics LLC

• Pediatric Dentistry in Clermont, FL
• Providers in Clermont, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.