Active NPI
Gerard Michael Villa, DDS
- Dentist
- Staten Island, NY
National Provider Identifier
1629145271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 036826
- Practice address
- 4143 Richmond Ave
Staten Island, NY 10312 - Phone
- (718) 984-7700
- Fax
- (718) 984-9322
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 036826 | NY | Primary |
Addresses
Primary practice location
4143 Richmond Ave
Staten Island, NY 10312
Mailing address
4143 Richmond Ave
Staten Island, NY 10312
Phone (718) 984-7700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 11, 2016 through Jan 11, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036826 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629145271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4143 RICHMOND AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10312",
"telephone_number": "718-984-7700",
"fax_number": "718-984-9322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4143 RICHMOND AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10312",
"telephone_number": "718-984-7700",
"fax_number": "718-984-9322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLA",
"first_name": "GERARD",
"middle_name": "MICHAEL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "036826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.