Lawrence Villarreal, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24882 Issued in CA

Practice address

1730 E Walnut St
Pasadena, CA 91106-1612

Phone

(626) 449-4795

Fax

(626) 449-7242

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

Yes

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 CA

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.

• Lawrence Villarreal DDS Inc

  • Dental Clinic/Center
  • Pasadena, CA
  • NPI 1811388044
  NPD (past) Authorized official
• Brar Family Dental Office Inc.

  • Dental Clinic/Center
  • Pasadena, CA
  • NPI 1558904284
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184744930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 E WALNUT ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061612",
            "telephone_number": "626-449-4795",
            "fax_number": "626-449-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 E WALNUT ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061612",
            "telephone_number": "626-449-4795",
            "fax_number": "626-449-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARREAL",
        "first_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "24882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Olimpia Villanueva
• Alejandra Villar
• Eleni Villaras
• Ernestito Jose Villareal
• Jessica Villarreal, ASW
• Milagros Jacqueline Villarreal, LCSW
• Gabriel Villasenor
• Ivan Villasenor
• Lynda Vienna Villasenor
• Alondra Elena Villegas

• General Practice Dentistry in Pasadena, CA
• Providers in Pasadena, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.