Villa Dental, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

28289 Issued in TX

Legal business name

VILLA DENTAL, PLLC

Practice address

1546 Babcock Rd
Ste 105
San Antonio, TX 78229-4724

Phone

(504) 810-2760

NPI assigned

Jul 11, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Emanuel J Staes, D.D.S.NPI 1336495738

Title

Owner

Phone

(504) 810-2760

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Villa Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emanuel Joseph Staes, D.D.S.

  • Dentist
  • San Antonio, TX
  • NPI 1336495738
  NPD (past) Authorized official

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423008000000",
    "number": "1699181578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6215 VIA LA CANTERA APT 331",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782562537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1546 BABCOCK RD",
            "address_2": "STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294724",
            "telephone_number": "504-810-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-11",
        "last_updated": "2015-02-04",
        "status": "A",
        "authorized_official_last_name": "STAES",
        "authorized_official_first_name": "EMANUEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-810-2760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "28289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336495738",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villa Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Nichole Vilano
• Crystal Vilano
• Natasha Vilanova, RBT
• Jill Ngeun Vilaythong, M.D.
• Villa de Oro Assisted Living
• Villa Family Clinic, PC
• Caroline Villa Martignoni Rebicki, MD, MCLSC
• Jose Felipe Villa-Garcia, PA-C
• Michelle Villa-Olvera, MD
• Ayssa Villa

• Dental Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.