NPIMap

Organization Active NPI

The Village Dental Care, PA

Doing business as Village Dental

  • General Practice Dentistry
  • The Villages, FL
National Provider Identifier
1073991204
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
THE VILLAGE DENTAL CARE, PA
Doing business as
Village Dental
Practice address
2532 Burnsed Blvd
The Villages, FL 32163-2704
Phone
(352) 205-7667
Fax
(352) 205-8754
NPI assigned
May 7, 2015
Organization subpart
Yes
Parent organization
THE VILLAGE DENTAL CARE, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Authorized official

Name
Dr. Richard Phillip Hall II, D.M.D.NPI 1194872101
Title
Vice President
Phone
(352) 205-7667

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2532 Burnsed Blvd
The Villages, FL 32163-2704

Mailing address

PO Box 1900
Lady Lake, FL 32158-1900
Phone (352) 205-7667

Other names 1

  • Village Dental Doing business as

National Provider Directory

National Provider Directory
Part of
The Village Dental Care PA

Locations

2532 Burnsed Blvd
The Villages, FL 32163
Phone (352) 205-7667

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1073991204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1900",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321581900",
            "telephone_number": "352-205-7667",
            "fax_number": "352-205-8754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2532 BURNSED BLVD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321632704",
            "telephone_number": "352-205-7667",
            "fax_number": "352-205-8754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLAGE DENTAL CARE, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE VILLAGE DENTAL CARE, PA",
        "enumeration_date": "2015-05-07",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "352-205-7667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.