Villago Family Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VILLAGO FAMILY DENTAL, LLC

Practice address

2876 N Pinal Ave
Suite #C4
Casa Grande, AZ 85122-7938

Phone

(520) 374-2225

Fax

(520) 374-2229

NPI assigned

Jan 4, 2016

Organization subpart

No

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

Authorized official

Name

John Ballard

Title

Cfo, Cio

Phone

(480) 889-9457

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1568828887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 E HOLMES AVE",
            "address_2": "SUITE #200",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063372",
            "telephone_number": "480-889-9457",
            "fax_number": "480-696-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2876 N PINAL AVE",
            "address_2": "SUITE #C4",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851227938",
            "telephone_number": "520-374-2225",
            "fax_number": "520-374-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGO FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO, CIO",
        "authorized_official_telephone_number": "480-889-9457"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Paige Vecellio, HAD
• Carlos Jesus Vega, PSY.D.
• Vibrantcare Outpatient Rehabilitation West Inc
• Michelle Leyva Viera, SLPA
• Villago Dentistry LLC
• Villago Marketplace Dental Care PC
• Sonia Ivonne Villanueva, NP-C
• Pamela J. Vincent, B. S.
• Visionworks Inc
• Vital HC, Inc.

• General Practice Dentistry in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.