Ofelia V. Villanueva D.M.D. L.L.C

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17807 Issued in MA

Legal business name

OFELIA V. VILLANUEVA D.M.D. L.L.C

Practice address

339 Hancock St
North Quincy, MA 02171-2438

Phone

(617) 328-4646

Fax

(617) 328-4646

NPI assigned

Aug 30, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ofelia Veluz Villanueva, 6173284646

Title

D.M.D.

Phone

(617) 328-4646

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1346556198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 HANCOCK ST",
            "city": "NORTH QUINCY",
            "state": "MA",
            "postal_code": "021712438",
            "telephone_number": "617-328-4646",
            "fax_number": "617-328-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 HANCOCK ST",
            "city": "NORTH QUINCY",
            "state": "MA",
            "postal_code": "021712438",
            "telephone_number": "617-328-4646",
            "fax_number": "617-328-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFELIA V. VILLANUEVA D.M.D. L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "OFELIA",
        "authorized_official_middle_name": "VELUZ",
        "authorized_official_title_or_position": "D.M.D.",
        "authorized_official_telephone_number": "617-328-4646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "6173284646"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "17807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11001108A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hiromichi Miyashita, M.D.
• Jennifer Marie Murphy, PT
• Norman a. Wortzman DPM
• Samantha Nortelus
• Lauren O'Connell, PA-C
• Joshua Lumumba Okallo, M.D.
• Somawina Andrew Okwudi
• Olsl Marina
• Imane Ouahidi, FNP-BC
• Claire Q. Paduano, M.D.

• General Practice Dentistry in North Quincy, MA
• Providers in North Quincy, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.