Organization Active NPI

Villasenor Dental Care, P. C.

  • General Practice Dentistry
  • North Riverside, IL
National Provider Identifier
1043465743
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
VILLASENOR DENTAL CARE, P. C.
Practice address
8711 W. Cermak Rd.
Suite 1
North Riverside, IL 60546
Phone
(708) 442-5227
Fax
(708) 442-0420
NPI assigned
Nov 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Authorized official

Name
Dr. Martha Catalina Villasenor, D.D.S.
Title
Owner
Phone
(708) 442-5227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

8711 W. Cermak Rd.
Suite 1
North Riverside, IL 60546

Mailing address

8711 W. Cermak Rd. Suite 1
P.O. Box 1155
North Riverside, IL 60546
Phone (708) 442-5227

National Provider Directory

National Provider Directory

Locations

8711 W Cermak Rd
Ste 1
North Riverside, IL 60546
Phone (708) 442-5227

NPI Registry JSON

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1043465743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8711 W. CERMAK RD. SUITE 1",
            "address_2": "P.O. BOX 1155",
            "city": "NORTH RIVERSIDE",
            "state": "IL",
            "postal_code": "60546",
            "telephone_number": "708-442-5227",
            "fax_number": "708-442-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8711 W. CERMAK RD.",
            "address_2": "SUITE 1",
            "city": "NORTH RIVERSIDE",
            "state": "IL",
            "postal_code": "60546",
            "telephone_number": "708-442-5227",
            "fax_number": "708-442-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLASENOR DENTAL CARE, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-21",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "VILLASENOR",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "CATALINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-442-5227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Riverside, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.