Organization Active NPI

Gabriel L Villena DDS PA

  • Dentist
  • Raleigh, NC
National Provider Identifier
1225174352
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6391 Issued in NC
Legal business name
GABRIEL L VILLENA DDS PA
Practice address
811 Spring Forest Road
Suite 1400
Raleigh, NC 27609-9145
Phone
(919) 846-6363
Fax
(919) 876-4768
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gabriel Lira Villena, DDSNPI 1497903710
Title
President Prosthodontist
Phone
(919) 786-6363

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6391 NC Primary

Addresses

Primary practice location

811 Spring Forest Road
Suite 1400
Raleigh, NC 27609-9145

Mailing address

811 Spring Forest Road
Suite 1400
Raleigh, NC 27609-9145
Phone (919) 846-6363

Other names 1

  • Restorative & Prosthetic Dentistry Other name

National Provider Directory

National Provider Directory

Locations

811 Spring Forest Rd
Ste 1400
Raleigh, NC 27609
Phone (919) 846-6363

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225174352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 SPRING FOREST ROAD",
            "address_2": "SUITE 1400",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276099145",
            "telephone_number": "919-846-6363",
            "fax_number": "919-876-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 SPRING FOREST ROAD",
            "address_2": "SUITE 1400",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276099145",
            "telephone_number": "919-846-6363",
            "fax_number": "919-876-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIEL L VILLENA DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VILLENA",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "LIRA",
        "authorized_official_title_or_position": "PRESIDENT PROSTHODONTIST",
        "authorized_official_telephone_number": "919-786-6363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "6391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restorative & Prosthetic Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.