Individual provider Active NPI

Jose Luis Villarreal Sr., D.D.S.

  • General Practice Dentistry
  • McAllen, TX
National Provider Identifier
1669516928
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18068 Issued in TX
Practice address
5717 N 10TH St
Suite #E
McAllen, TX 78504-2611
Phone
(956) 618-2881
Fax
(956) 618-3118
NPI assigned
Feb 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18068 TX Primary

Addresses

Primary practice location

5717 N 10TH St
Suite #E
McAllen, TX 78504-2611

Mailing address

5717 N 10TH St
Suite #E
McAllen, TX 78504-2611
Phone (956) 618-2881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20211220000663 TX Practitioner - Oral Surgery 8123419546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
JV Dental PLLC Current Accepting new patients
Aegis Dental Management LLC General Practice Current Accepting new patients
North Riverside Dental, P.a. Past Accepting new patients

Organizations & group practices 3

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": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669516928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 N 10TH ST",
            "address_2": "SUITE #E",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042611",
            "telephone_number": "956-618-2881",
            "fax_number": "956-618-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5717 N 10TH ST",
            "address_2": "SUITE #E",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042611",
            "telephone_number": "956-618-2881",
            "fax_number": "956-618-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARREAL",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.