Individual provider Active NPI

Jesus Abel Villegas, DDS

  • Pediatric Dentistry
  • Milford, CT
National Provider Identifier
1487791356
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
008668 Issued in CT
Practice address
209 Boston Post Rd
201
Milford, CT 06460-3161
Phone
(203) 783-9994
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 008668 CT Primary

Addresses

Primary practice location

209 Boston Post Rd
201
Milford, CT 06460-3161

Mailing address

209 Boston Post Rd
201
Milford, CT 06460-3161
Phone (203) 783-9994

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

State licenses

LicenseStateTypeSpecialty
008668CTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfield Pediatric Dentistry Pediatric Dentistry Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: havenpediatricdentistry@ctproviderdirect.org
  • Direct secure messaging: fairfieldpediatricdentistry@ctproviderdirect.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409875200000",
    "number": "1487791356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 BOSTON POST RD",
            "address_2": "201",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603161",
            "telephone_number": "203-783-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 BOSTON POST RD",
            "address_2": "201",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603161",
            "telephone_number": "203-783-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLEGAS",
        "first_name": "JESUS",
        "middle_name": "ABEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2014-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CT",
            "license": "008668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.