Active NPI
Lupo Villega, DDS
- Dentist
- Danbury, CT
National Provider Identifier
1174952337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 008435
- Practice address
- 209 Main St
Danbury, CT 06810-2624 - Phone
- (203) 730-2917
- Fax
- (203) 730-2927
- NPI assigned
- Nov 7, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 008435 | CT | Primary |
Addresses
Primary practice location
209 Main St
Danbury, CT 06810-2624
Mailing address
209 Main St
Danbury, CT 06810-2624
Phone (203) 730-2917
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008435 | CT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Street Dental, PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Danbury, CT
- NPI 1780701961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383782400000",
"number": "1174952337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 MAIN ST",
"city": "DANBURY",
"state": "CT",
"postal_code": "068102624",
"telephone_number": "203-730-2917",
"fax_number": "203-730-2927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 MAIN ST",
"city": "DANBURY",
"state": "CT",
"postal_code": "068102624",
"telephone_number": "203-730-2917",
"fax_number": "203-730-2927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLEGA",
"first_name": "LUPO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-07",
"last_updated": "2013-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "008435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.