Isabel Villicana, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN18119 Issued in FL

Practice address

5622 NW 43Rd St
Gainesville, FL 32653-3332

Phone

(352) 378-3139

Fax

(352) 371-0135

NPI assigned

Mar 14, 2008

Sex

Female

Sole proprietor

No

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.

• Comfortable Care Dental Health Professionals, PA

  • General Practice Dentistry
  • Gainesville, FL
  • NPI 1326240201
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in FL

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

State licenses

Practice roles

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

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1154592483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5622 NW 43RD ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326533332",
            "telephone_number": "352-378-3139",
            "fax_number": "352-371-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5622 NW 43RD ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326533332",
            "telephone_number": "352-378-3139",
            "fax_number": "352-371-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLICANA",
        "first_name": "ISABEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN18119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Village Counseling Center of Gainesville, Inc.
• Sylvia Rojas Villalobos
• Leah Gasgonia Villanueva, PT, DPT
• Carolina Isabel Villarini de Leon
• Leonardo Villarroel, MD
• Sara Vincek Sullivan, MA, CF-SLP
• Vladimir Vincek
• Julia Lucinda Vincent
• Susan Vincent, CAP
• Vineyard Pharmacy and Healthcare Services

• All providers in Gainesville, FL
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.