Matthew John Villaire, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30018298 Issued in OH

Practice address

23880 Fairmount Blvd
Shaker Heights, OH 44122-2206

Phone

(216) 381-2010

NPI assigned

Apr 19, 2006

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

Other identifiers 1

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1194780502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23880 FAIRMOUNT BLVD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441222206",
            "telephone_number": "216-381-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23880 FAIRMOUNT BLVD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441222206",
            "telephone_number": "216-381-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAIRE",
        "first_name": "MATTHEW",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30018298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2055707",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bianca Vanitzan
• Gregory Vazquez-Norman, LISW-S
• Jessica Venditti, LPCC
• Galina Verbitsky
• Matthew Vibbert, PHARMD, RPH
• Lauren Voight, RN
• Silvana Volpe, LPCC
• Arnita Beatrice Waldron
• Walgreen Co
• Walgreen Co

• General Practice Dentistry in Shaker Heights, OH
• Providers in Shaker Heights, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.