NPIMap

Organization Active NPI

Villarama Dental Care

Doing business as Signature Smile Dental

  • General Practice Dentistry
  • Fullerton, CA
National Provider Identifier
1396887212
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49426 Issued in CA
Legal business name
VILLARAMA DENTAL CARE
Doing business as
Signature Smile Dental
Practice address
1835 W Orangethorpe Ave
Fullerton, CA 92833-4405
Phone
(714) 773-5575
Fax
(714) 773-5549
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Mr. Emerito Yuvienco Villarama, DMDNPI 1982751541
Title
President
Phone
(714) 773-5575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X D49426 CA
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 49426 CA Primary

Addresses

Primary practice location

1835 W Orangethorpe Ave
Fullerton, CA 92833-4405

Mailing address

1835 W Orangethorpe Ave
Fullerton, CA 92833-4405
Phone (714) 773-5575

Other identifiers 1

IdentifierTypeStateIssuer
G9371501MedicaidCA

Other names 1

  • Signature Smile Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1835 W Orangethorpe Ave
Fullerton, CA 92833
Phone (714) 773-5575

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1396887212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 W ORANGETHORPE AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334405",
            "telephone_number": "714-773-5575",
            "fax_number": "714-773-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 W ORANGETHORPE AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334405",
            "telephone_number": "714-773-5575",
            "fax_number": "714-773-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLARAMA DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "VILLARAMA",
        "authorized_official_first_name": "EMERITO",
        "authorized_official_middle_name": "YUVIENCO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-773-5575",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "D49426",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9371501",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature Smile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.