Individual provider Active NPI

Emma F Villiard

  • Dentist
  • Ankeny, IA
National Provider Identifier
1699295923
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
09444 Issued in IA
Practice address
2005 SE Delaware Ave Ste 1
Ankeny, IA 50021-4302
Phone
(515) 850-1150
Fax
(515) 850-1154
NPI assigned
Jun 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 09444 IA Primary

Addresses

Primary practice location

2005 SE Delaware Ave Ste 1
Ankeny, IA 50021-4302

Mailing address

2005 SE Delaware Ave Ste 1
Ankeny, IA 50021-4302
Phone (515) 850-1150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20230509001213 IA Practitioner - Dentist 5395100788 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09444IAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Dental Care PC Dentist CurrentSince Apr 1, 2023 Accepting new patients

Locations

400 Locust St
Ste 400
Des Moines, IA 50309
Phone (515) 664-2681

8500 W 110th St
Ste 450
Overland Park, KS 66210
Phone (913) 362-1112

Organizations & group practices 1

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": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1699295923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 SE DELAWARE AVE STE 1",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500214302",
            "telephone_number": "515-850-1150",
            "fax_number": "515-850-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 SE DELAWARE AVE STE 1",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500214302",
            "telephone_number": "515-850-1150",
            "fax_number": "515-850-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLIARD",
        "first_name": "EMMA",
        "middle_name": "F",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "09444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

Verify at the official NPI Registry.