Emma Vanessa Villamizar Duenas, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

110307 Issued in CA

Practice address

805 W la Veta Ave Ste 204
Orange, CA 92868-3929

Phone

(714) 288-8565

NPI assigned

Jul 16, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alexander Vahdati Dental Corp

  • Endodontics
  • Placentia, CA
  • NPI 1730761917
  NPD (past)

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1447098348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 SAN TROPEZ CT",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926514429",
            "telephone_number": "949-610-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W LA VETA AVE STE 204",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683929",
            "telephone_number": "714-288-8565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32322 Coast Hwy Ste E",
            "address_purpose": "LOCATION",
            "city": "Laguna Beach",
            "state": "CA",
            "postal_code": "926516785",
            "country_code": "US",
            "telephone_number": "949-415-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLAMIZAR DUENAS",
        "first_name": "EMMA",
        "middle_name": "VANESSA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "110307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miguel A. Villalona Calero, M.D.
• Irma Villalpando
• Odalys Villalta
• Joseph Evan Villaluz, M.D.
• David Guillermo Villamil
• Christian Angert Villanueva
• Janine Villanueva, CPNP-PC
• Luciana Daniela Villanueva
• Alegandrina Villapudua
• Katherine Nicole Villar Rosas

• Dentist in Orange, CA
• Providers in Orange, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.