Kyla Mae Villaroman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

111917 Issued in CA

Practice address

1006 H St
Modesto, CA 95354-2384

Phone

(209) 338-3388

Fax

(209) 832-8929

NPI assigned

Aug 6, 2025

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

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

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1508741836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8522 VINE LN",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953048117",
            "telephone_number": "209-914-0732",
            "fax_number": "209-832-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 H ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953542384",
            "telephone_number": "209-338-3388",
            "fax_number": "209-832-8929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "569 W Lowell Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tracy",
            "state": "CA",
            "postal_code": "953763082",
            "country_code": "US",
            "telephone_number": "209-832-8883",
            "fax_number": "209-832-8929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLAROMAN",
        "first_name": "KYLA MAE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "111917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Araceli Ranae Villanueva I
• Marlon John Villanueva, FNP-BC
• Purita Z Villanueva, MD
• Roger Villanueva, DO
• Elizabeth E. Villarico, M.D.
• Yulissa Villarreal-Sotelo
• Hilda A Villarreal, NP
• Jacquelyn Villarreal
• Gloria Estela Villasenor Fass, DDS
• Adylene Villasenor, LCSW

• General Practice Dentistry in Modesto, CA
• Providers in Modesto, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.