Juan Villasis, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401410774 Issued in VA

Practice address

1354 Kempsville Rd
Suite 101
Chesapeake, VA 23320-1416

Phone

(757) 548-1051

NPI assigned

Jan 17, 2006

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

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194705111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 JAMAICA AVE",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233226928",
            "telephone_number": "757-560-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1354 KEMPSVILLE RD",
            "address_2": "SUITE 101",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233201416",
            "telephone_number": "757-548-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLASIS",
        "first_name": "JUAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victory Residential Home, LLC
• Zaharoula Viennas, MD
• Vigilant Healthcare, LLC
• Randy Villarreal, MD
• Felipe C Villasis, MD
• Anthony Viol, M.D.
• Evelyn Vioral
• Virginia Advanced Medical LLC
• Virginia Beach Integrative Care
• Virginia Care Physician Group, LLC

• General Practice Dentistry in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• General Practice Dentistry in Virginia

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.