Organization Active NPI

Al Villalobos DMD P.a.

  • Public Health or Welfare Agency
  • Tequesta, FL
National Provider Identifier
1396100830
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
AL VILLALOBOS DMD P.A.
Practice address
1620 N US Highway 1
Suite 6
Tequesta, FL 33469-3228
Phone
(561) 744-0677
Fax
(561) 743-9067
NPI assigned
Dec 29, 2015
Last updated
Oct 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Authorized official

Name
Dawn Conrad
Title
Manager
Phone
(561) 744-0677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

1620 N US Highway 1
Suite 6
Tequesta, FL 33469-3228

Mailing address

1620 N US Highway 1
Suite 6
Tequesta, FL 33469-3228
Phone (561) 744-0677

National Provider Directory

National Provider Directory

Locations

1620 N US Highway 1
Ste 6
Tequesta, FL 33469
Phone (561) 744-0677

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1396100830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 N US HIGHWAY 1",
            "address_2": "SUITE 6",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334693228",
            "telephone_number": "561-744-0677",
            "fax_number": "561-743-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 N US HIGHWAY 1",
            "address_2": "SUITE 6",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334693228",
            "telephone_number": "561-744-0677",
            "fax_number": "561-743-9067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AL VILLALOBOS DMD P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-744-0677"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tequesta, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.