Individual provider Active NPI

Myriam Villalpando Falcon

  • Dentist
  • Chula Vista, CA
National Provider Identifier
1356715544
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
65288 Issued in CA
Practice address
500 E H St Apt 3
Chula Vista, CA 91910-7507
Phone
(619) 598-6691
NPI assigned
Nov 25, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 65288 CA Primary

Addresses

Primary practice location

500 E H St Apt 3
Chula Vista, CA 91910-7507

Mailing address

500 E H St Apt 3
Chula Vista, CA 91910-7507
Phone (619) 598-6691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170112001574 CA Order and Referring Only - DentistPractitioner - Dentist 4486936184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1448409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1356715544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E H ST APT 3",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107507",
            "telephone_number": "619-598-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E H ST APT 3",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107507",
            "telephone_number": "619-598-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALPANDO FALCON",
        "first_name": "MYRIAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-25",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "65288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.