Active NPI
Walter Villanueva, DDS
- Pediatric Dentistry
- Gilbert, AZ
National Provider Identifier
1437385200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- D07782
- Practice address
- 913 E Warner Rd
Gilbert, AZ 85296-3078 - Phone
- (480) 398-1372
- Fax
- (602) 956-2209
- NPI assigned
- Jun 6, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | D07782 | AZ | Primary |
Addresses
Primary practice location
913 E Warner Rd
Gilbert, AZ 85296-3078
Mailing address
24 N Bullmoose Cir
Chandler, AZ 85224-4121
Phone (480) 398-1372
Other practice location 1
224 W Chandler Heights Rd
Chandler, AZ 85248-5072
Phone (480) 494-2001
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidiatric Dentistry, PLLC | Pediatric Dentistry | Past | Accepting new patients |
| Chandler Kidiatric Dental | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Dentistry
- Chandler, AZ
- NPI 1598118713
-
- Pediatric Dentistry
- Gilbert, AZ
- NPI 1073895629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1437385200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 N BULLMOOSE CIR",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852244121",
"telephone_number": "480-398-1372",
"fax_number": "480-398-1373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "913 E WARNER RD",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852963078",
"telephone_number": "480-398-1372",
"fax_number": "602-956-2209"
}
],
"practiceLocations": [
{
"address_1": "224 W Chandler Heights Rd",
"address_purpose": "LOCATION",
"city": "Chandler",
"state": "AZ",
"postal_code": "852485072",
"country_code": "US",
"telephone_number": "480-494-2001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VILLANUEVA",
"first_name": "WALTER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-06",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "AZ",
"license": "D07782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.