Juan Jose Hidalgo Villacorta DDS, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JUAN JOSE HIDALGO VILLACORTA DDS, INC

Doing business as

Brilliance Dental of Anaheim

Practice address

1732 W Medical Center Dr
Anaheim, CA 92801-1801

Phone

(541) 513-3350

NPI assigned

Jun 25, 2021

Organization subpart

No

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

Authorized official

Name

Leann Hidalgo

Title

Manager

Phone

(657) 254-0003

Specialties & licenses 1

Addresses

Other names 1

• Brilliance Dental of Anaheim Doing business as

Practitioners 1

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

• Juan Jose Hidalgo Villacorta

  • General Practice Dentistry
  • Van Nuys, CA
  • NPI 1033757570
  NPD

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700265600000",
    "number": "1508436262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SNOWAPPLE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926147412",
            "telephone_number": "541-513-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 W MEDICAL CENTER DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011801",
            "telephone_number": "541-513-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN JOSE HIDALGO VILLACORTA DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-25",
        "last_updated": "2023-11-18",
        "certification_date": "2021-09-05",
        "status": "A",
        "authorized_official_last_name": "HIDALGO",
        "authorized_official_first_name": "LEANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "657-254-0003"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brilliance Dental of Anaheim",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erica Joyner-Jalloh
• JS Lee, DDS, Inc
• JS Lee, DDS, Inc.
• Ju Young Lee DDS Inc
• Juan Carlos Quiros MD a Professional Medical Corporation
• Magaly Juarez Jaimes
• Bianka Juarez
• Diana Juarez
• Hugo Juarez
• Karen Juarez

• Dental Clinic/Center in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2023; 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.