Robert J. Villa, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

1001763 Issued in WI

Practice address

5471 RFD
Long Grove, IL 60047-8211

Phone

(847) 668-3876

NPI assigned

Mar 12, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Boca Dental Studio

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1467177030
  NPD Authorized official
• Robert Villa DDS, PLLC

  • Dental Clinic/Center
  • Long Grove, IL
  • NPI 1376183434
  NPD Authorized official

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1184127516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5471 RFD",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600478211",
            "telephone_number": "847-668-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5471 RFD",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600478211",
            "telephone_number": "847-668-3876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLA",
        "first_name": "ROBERT",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1001763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rubina Usman, MD
• Madeline A Vail, NP
• Ronie Dana Vardy
• Brian B Varghese, M.D.
• Ruby Vellanikal
• Kathy Wajda
• Daniel Waller, DPT
• Tricia Helen Ward, APN
• Mindy Waxman, PSY.D.
• Lora White

• Dentist in Long Grove, IL
• Providers in Long Grove, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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.