Luis Yasser Villavicencio Mendez

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39082 Issued in TX

Practice address

13327 Tomball Pkwy
Houston, TX 77086-3128

Phone

(281) 940-3086

NPI assigned

Sep 26, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Soumava Sen, DDS, P.C.

  • Dentist
  • Houston, TX
  • NPI 1891114914
  NPD (past)

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1376267120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 CYPRESSWOOD DR APT 324",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770706501",
            "telephone_number": "786-539-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13327 TOMBALL PKWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770863128",
            "telephone_number": "281-940-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAVICENCIO MENDEZ",
        "first_name": "LUIS",
        "middle_name": "YASSER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "39082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffanie Brashear Villasana, PA
• Andres David Villasenor
• Connie Villasmil, LCSW
• Clara I Villatoro, LCDC, LPC
• George Villatoro, MD
• Sharon Marie Villavicencio, CSFA
• Sergio Uriel Villegas de Leon, M.D.
• Joaquin Andres Villegas Inurrigarro, MD, MPH
• Alba Esther Villegas, LPC
• Beatriz Villegas, O.D.

• General Practice Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.