Justin J Villafane, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6696 Issued in NE

Practice address

5760 S 86TH Dr Ste 2
Lincoln, NE 68526-9247

Phone

(402) 484-5760

Fax

(402) 484-0229

NPI assigned

Jul 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lincoln Tongue Tie Center LLC

  • Clinic/Center
  • Lincoln, NE
  • NPI 1851903967
  NPD Authorized official

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1124218052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5760 S 86TH DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269247",
            "telephone_number": "402-484-5760",
            "fax_number": "402-484-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5760 S 86TH DR STE 2",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269247",
            "telephone_number": "402-484-5760",
            "fax_number": "402-484-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAFANE",
        "first_name": "JUSTIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Viljoen, M.D.
• Xenia Veraly Villa Hernandez
• Ibeth Villa
• Sandra Villa
• Villaconn LLC
• Kelly Villafane, M.S., L-CCC-SLP
• Santos Villalta
• Brittany Renee Villarreal
• Pradeepa Patricia Vimalachandran, M.D.
• Vine and Branch Counseling

• General Practice Dentistry in Lincoln, NE
• Providers in Lincoln, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.