Individual provider Active NPI

Donald Russell Villier Jr., DMD

  • Dentist
  • New Castle, VA
National Provider Identifier
1386057537
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401414433 Issued in VA
Practice address
230 Market St
New Castle, VA 24127-6080
Phone
(540) 864-5556
Fax
(540) 864-5558
NPI assigned
Jun 5, 2014
Last updated
Jun 5, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401414433 VA Primary

Addresses

Primary practice location

230 Market St
New Castle, VA 24127-6080

Mailing address

PO Box 246
New Castle, VA 24127-0246
Phone (502) 544-1810

Other identifiers 1

IdentifierTypeStateIssuer
0401414433OtherVAVA LICENSE

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1386057537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 246",
            "city": "NEW CASTLE",
            "state": "VA",
            "postal_code": "241270246",
            "telephone_number": "502-544-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 MARKET ST",
            "city": "NEW CASTLE",
            "state": "VA",
            "postal_code": "241276080",
            "telephone_number": "540-864-5556",
            "fax_number": "540-864-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLIER",
        "first_name": "DONALD",
        "middle_name": "RUSSELL",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA LICENSE",
            "identifier": "0401414433",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.