Individual provider Active NPI

Gloria Estella Villegas, D.D.S

  • Dentist
  • La Habra, CA
National Provider Identifier
1659507440
Registry record updated Jun 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
58271 Issued in CA
Practice address
545 W la Habra Blvd
La Habra, CA 90631-5307
Phone
(562) 905-2552
Fax
(562) 905-2772
NPI assigned
Jun 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 58271 CA Primary

Addresses

Primary practice location

545 W la Habra Blvd
La Habra, CA 90631-5307

Mailing address

545 W la Habra Blvd
La Habra, CA 90631-5307
Phone (562) 905-2552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20160209000101 CA Order and Referring Only - DentistPractitioner - Dentist 4183928344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
G Villegas DDS Dental Inc Current Accepting new patients
Pacific Smile Dental Clinic Dentist Past Accepting new patients

Locations

1126 N Flower St
Ste A
Santa Ana, CA 92703
Phone (657) 247-0570

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1244332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244332800000",
    "number": "1659507440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 W LA HABRA BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906315307",
            "telephone_number": "562-905-2552",
            "fax_number": "562-905-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 W LA HABRA BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906315307",
            "telephone_number": "562-905-2552",
            "fax_number": "562-905-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLEGAS",
        "first_name": "GLORIA",
        "middle_name": "ESTELLA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-07",
        "last_updated": "2009-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "58271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Habra, CA

Sources for this page

Verify at the official NPI Registry.