Jessica Lauren Villalobos, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D008696 Issued in AZ

Practice address

4206 E Chandler Blvd Ste 20
Phoenix, AZ 85048-8885

Phone

(480) 339-7652

NPI assigned

Jul 17, 2013

Sex

Female

Sole proprietor

No

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

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1609217728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 E CHANDLER BLVD STE 20",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850488885",
            "telephone_number": "480-339-7652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4206 E CHANDLER BLVD STE 20",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850488885",
            "telephone_number": "480-339-7652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALOBOS",
        "first_name": "JESSICA",
        "middle_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D008696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberto Villagomez
• Aylin Villalobos Alvarez, RBT
• April Villalobos
• Eric Villalobos
• Jessica Villalobos
• Lilliam Villalobos, M.D.
• Mireya Guadalupe Villalobos, PMHNP
• Soledad Villalobos, FNP
• Ma. Carmona Villamayor
• Aura Eliz Villamil-Rubin, PH.D.

• Dentist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.