Organization Active NPI

G Villegas DDS Dental Inc

  • Health Maintenance Organization
  • Santa Ana, CA
National Provider Identifier
1225404023
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
58271 Issued in CA
Legal business name
G VILLEGAS DDS DENTAL INC
Practice address
1126 N Flower St
Suite #a
Santa Ana, CA 92703-2385
Phone
(657) 247-0570
Fax
(657) 247-0569
NPI assigned
Aug 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Authorized official

Name
Gloria Estella VillegasNPI 1659507440
Title
Owner Dentist
Phone
(949) 648-4769

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
Health Maintenance Organization 302R00000X 58271 CA Primary

Addresses

Primary practice location

1126 N Flower St
Suite #a
Santa Ana, CA 92703-2385

Mailing address

1126 N Flower St
Suite #a
Santa Ana, CA 92703-2385
Phone (657) 247-0570

Other identifiers 1

IdentifierTypeStateIssuer
1659507440OtherCADENTICAL

National Provider Directory

National Provider Directory

Locations

1126 N Flower St
Ste A
Santa Ana, CA 92703
Phone (657) 247-0570

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": "1439596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1225404023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 N FLOWER ST",
            "address_2": "SUITE #A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927032385",
            "telephone_number": "657-247-0570",
            "fax_number": "657-247-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 N FLOWER ST",
            "address_2": "SUITE #A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927032385",
            "telephone_number": "657-247-0570",
            "fax_number": "657-247-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G VILLEGAS DDS DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-15",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "VILLEGAS",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "ESTELLA",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "949-648-4769"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "58271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "1659507440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.