Active NPI
Andres David Villasenor
- General Practice Dentistry
- Houston, TX
National Provider Identifier
1376879445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 24997
- Practice address
- 221 W 13TH St
Houston, TX 77008-6815 - Phone
- (210) 845-2400
- NPI assigned
- Oct 26, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 24997 | TX | Primary |
Addresses
Primary practice location
221 W 13TH St
Houston, TX 77008-6815
Mailing address
221 W 13TH St
Houston, TX 77008-6815
Phone (210) 845-2400
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24997 | TX | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350518400000",
"number": "1376879445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 W 13TH ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770086815",
"telephone_number": "210-845-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 W 13TH ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770086815",
"telephone_number": "210-845-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLASENOR",
"first_name": "ANDRES",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-26",
"last_updated": "2012-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "24997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.