Active NPI
Villago Dental Corporation
- Dental Clinic/Center
- Van Nuys, CA
National Provider Identifier
1073028718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 48054
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Van Nuys, CA
- NPI 1982740296
-
- General Practice Dentistry
- Bakersfield, CA
- NPI 1821174129
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.