Elmer a. Villalon, DMD, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ELMER A. VILLALON, DMD, LLC

Doing business as

Elmer A. Villalon, DMD

Practice address

1225 North Main Street
#207
Pueblo, CO 81003

Phone

(719) 542-7844

Fax

(719) 542-7870

NPI assigned

Nov 22, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Elmer A. Villalon, DMDNPI 1033232590

Title

Owner

Phone

(719) 542-7844

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elmer A. Villalon, DMD Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elmer Alex Villalon, DMD

  • General Practice Dentistry
  • Pueblo, CO
  • NPI 1033232590
  NPD (past) Authorized official

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574380800000",
    "number": "1023654241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 N MAIN ST STE 207",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032857",
            "telephone_number": "719-542-7844",
            "fax_number": "719-542-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 NORTH MAIN STREET",
            "address_2": "#207",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81003",
            "telephone_number": "719-542-7844",
            "fax_number": "719-542-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMER A. VILLALON, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-22",
        "last_updated": "2019-11-22",
        "status": "A",
        "authorized_official_last_name": "VILLALON",
        "authorized_official_first_name": "ELMER",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-542-7844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02059525",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmer A. Villalon, DMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carol Elizondo Hill
• Emily Eller
• Ellington Eyecare PLLC
• Krista S Ellington
• Rita Ann Ellsworth, MD
• Elp L.L.C
• Christine Else
• Elizabeth M Elsey, LCSW
• Amanda Grace Elston
• Ema Consultants

• Dental Clinic/Center in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.