Organization Active NPI

Ruben Jesus Villa DDS,Inc

  • Dental Clinic/Center
  • Tracy, CA
National Provider Identifier
1528794815
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RUBEN JESUS VILLA DDS,INC
Practice address
95 W 11TH St Ste 202
Tracy, CA 95376-3961
Phone
(209) 229-8108
NPI assigned
Jul 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Authorized official

Name
Dr. Ruben Villa, DDSNPI 1427565118
Title
Dentist
Phone
(209) 207-1353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

95 W 11TH St Ste 202
Tracy, CA 95376-3961

Mailing address

695 Larkspur Dr
Tracy, CA 95376-9782
Phone (209) 207-1353

National Provider Directory

National Provider Directory

Locations

95 W 11th St
Ste 202
Tracy, CA 95376
Phone (209) 229-8108

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1528794815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 LARKSPUR DR",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953769782",
            "telephone_number": "209-207-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 W 11TH ST STE 202",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763961",
            "telephone_number": "209-229-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBEN JESUS VILLA DDS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "VILLA",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "209-207-1353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.