Organization Active NPI

Villago Dental Corporation

  • Dental Clinic/Center
  • Van Nuys, CA
National Provider Identifier
1073028718
Registry record updated Dec 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
48054 Issued in CA
Legal business name
VILLAGO DENTAL CORPORATION
Practice address
7133 Sepulveda Blvd
Van Nuys, CA 91405-2930
Phone
(818) 988-8184
Fax
(818) 988-8727
NPI assigned
Dec 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2017

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

Authorized official

Name
Dr. Gloriana Co Ting Keh Villago, DDS
Title
President
Phone
(818) 988-8184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 48054 CA Primary

Addresses

Primary practice location

7133 Sepulveda Blvd
Van Nuys, CA 91405-2930

Mailing address

7133 Sepulveda Blvd
Van Nuys, CA 91405-2930
Phone (818) 988-8184

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1073028718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7133 SEPULVEDA BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052930",
            "telephone_number": "818-988-8184",
            "fax_number": "818-988-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7133 SEPULVEDA BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052930",
            "telephone_number": "818-988-8184",
            "fax_number": "818-988-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGO DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "VILLAGO",
        "authorized_official_first_name": "GLORIANA",
        "authorized_official_middle_name": "CO TING KEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-988-8184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "48054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.