Carlos F Villanueva, DDS, PROSTHODONTIST

Primary specialty

DentistTaxonomy code 122300000X

License

DN20349 Issued in FL

Practice address

15641 Sheridan St Ste 400
Davie, FL 33331-3485

Phone

(954) 270-7923

Fax

(954) 262-7335

NPI assigned

Aug 24, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• West Sheridan Dental LLC

  • Dentist
  • Davie, FL
  • NPI 1992456560
  NPD Authorized official

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1619257581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15641 SHERIDAN ST STE 400",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333313485",
            "telephone_number": "954-270-7923",
            "fax_number": "954-262-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15641 SHERIDAN ST STE 400",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333313485",
            "telephone_number": "954-270-7923",
            "fax_number": "954-262-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "CARLOS",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DDS, PROSTHODONTIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-24",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20349",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "DN20349",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Villalba, PA-C
• Jaime Villalobos, PHARM D
• Melanie Villalobos, MA, BCBA
• Alicia Villamarin, PHYSICIAN
• Luisa Villanueva Dominguez
• Nicole Villar
• Alis Nelvis Villarino Rivery
• Naysha Villarrubia Ruiz, PHARMD
• Stefani Villasana
• Violeta Villavicencio

• Dentist in Davie, FL
• Providers in Davie, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.