Individual provider Active NPI

Aimee Villamayor, D.D.S.

  • Dentist
  • Henderson, NV
National Provider Identifier
1548601156
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6589 Issued in NV
Practice address
771 E Horizon Dr Ste 176-180
Henderson, NV 89015-8405
Phone
(702) 943-0900
Fax
(702) 943-8882
NPI assigned
Jul 11, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X ETN167 TX
Dentist 122300000X 6589 NV Primary

Addresses

Primary practice location

771 E Horizon Dr Ste 176-180
Henderson, NV 89015-8405

Mailing address

771 E Horizon Dr Ste 176-180
Henderson, NV 89015-8405
Phone (702) 943-0900

Other practice location 1

7703 Floyd Curl Dr # 7914
UT Health Science Center at San Antonio
San Antonio, TX 78229-3901
Phone (210) 567-3456

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
6589NVMDPhysical Therapist
ETN167TXMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1548601156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 E HORIZON DR STE 176-180",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890158405",
            "telephone_number": "702-943-0900",
            "fax_number": "702-943-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 E HORIZON DR STE 176-180",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890158405",
            "telephone_number": "702-943-0900",
            "fax_number": "702-943-8882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7703 Floyd Curl Dr # 7914",
            "address_2": "UT Health Science Center at San Antonio",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293901",
            "country_code": "US",
            "telephone_number": "210-567-3456",
            "fax_number": "210-567-3443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLAMAYOR",
        "first_name": "AIMEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2021-01-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "ETN167",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "6589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.