NPIMap

Organization Active NPI

Jose Villa PC

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1437301744
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
201902173 Issued in IL
Legal business name
JOSE VILLA PC
Practice address
1426 W Belmont Ave
#1
Chicago, IL 60657-6898
Phone
(773) 528-0068
NPI assigned
Oct 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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

Authorized official

Name
Keiko Villa
Title
Receptionist
Phone
(773) 528-0068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 201902173 IL Primary

Addresses

Primary practice location

1426 W Belmont Ave
#1
Chicago, IL 60657-6898

Mailing address

1426 W Belmont Ave
1426 W Belmont Ave
Chicago, IL 60657-6898
Phone (773) 528-0068

Other names 1

  • family dental care Other name

National Provider Directory

National Provider Directory
Tax ID family
Family Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1426 W Belmont Ave
Ste 1
Chicago, IL 60657
Phone (773) 528-0068

Practitioners & affiliated clinicians

Practitioners 4

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": "1224201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1437301744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 W BELMONT AVE",
            "address_2": "1426 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576898",
            "telephone_number": "773-528-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 W BELMONT AVE",
            "address_2": "#1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576898",
            "telephone_number": "773-528-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE VILLA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-17",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "VILLA",
        "authorized_official_first_name": "KEIKO",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "773-528-0068"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "201902173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "family dental care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.