Individual provider Active NPI

Bernardo Antonio Villela, DDS, MS

  • Periodontics
  • Miami, FL
National Provider Identifier
1194938209
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN9923 Issued in FL
Practice address
8500 W Flagler St Ste 108a
Miami, FL 33144-2054
Phone
(305) 551-2722
Fax
(305) 551-3826
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DN9923 FL Primary

Addresses

Primary practice location

8500 W Flagler St Ste 108a
Miami, FL 33144-2054

Mailing address

8500 W Flagler St Ste 108a
Miami, FL 33144-2054
Phone (305) 551-2722

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DN9923FLMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194938209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 W FLAGLER ST STE 108A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442054",
            "telephone_number": "305-551-2722",
            "fax_number": "305-551-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 W FLAGLER ST STE 108A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442054",
            "telephone_number": "305-551-2722",
            "fax_number": "305-551-3826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLELA",
        "first_name": "BERNARDO",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN9923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • 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.