Individual provider Active NPI

Chelsea Monique Villa, RDH, PHRDH

  • Dental Hygienist
  • Crete, NE
National Provider Identifier
1255166625
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
3224 Issued in NE
Practice address
830 E 1St St Ste 300
Crete, NE 68333-3104
Phone
(402) 826-6683
Fax
(402) 826-4101
NPI assigned
Sep 5, 2024
Last updated
Sep 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 3224 NE Primary

Addresses

Primary practice location

830 E 1St St Ste 300
Crete, NE 68333-3104

Mailing address

830 E 1St St Ste 300
Crete, NE 68333-3104
Phone (402) 826-6683

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

State licenses

LicenseStateTypeSpecialty
3224NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Solutions CurrentSince Sep 8, 2024 Accepting new patients

Locations

830 E 1st St
Ste 300
Crete, NE 68333
Phone (402) 826-3880

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1255166625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 E 1ST ST STE 300",
            "city": "CRETE",
            "state": "NE",
            "postal_code": "683333104",
            "telephone_number": "402-826-6683",
            "fax_number": "402-826-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 E 1ST ST STE 300",
            "city": "CRETE",
            "state": "NE",
            "postal_code": "683333104",
            "telephone_number": "402-826-6683",
            "fax_number": "402-826-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLA",
        "first_name": "CHELSEA",
        "middle_name": "MONIQUE",
        "credential": "RDH, PHRDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NE",
            "license": "3224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crete, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.