NPIMap

Organization Active NPI

Julia Villa, D.D.S., Inc.

Doing business as American Canyon Dental CAre

  • Dental Clinic/Center
  • American Canyon, CA
National Provider Identifier
1720090863
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
38471 Issued in CA
Legal business name
JULIA VILLA, D.D.S., INC.
Doing business as
American Canyon Dental CAre
Practice address
3431 Broadway St
Suite a-7
American Canyon, CA 94503-1228
Phone
(707) 557-5057
Fax
(707) 557-4230
NPI assigned
Aug 13, 2006
Last updated
Jan 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Authorized official

Name
Dr. Julia Villa, DDSNPI 1083036776
Title
President
Phone
(707) 557-5057

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 38471 CA Primary

Addresses

Primary practice location

3431 Broadway St
Suite a-7
American Canyon, CA 94503-1228

Mailing address

3431 Broadway St
Suite a-7
American Canyon, CA 94503-1228
Phone (707) 557-5057

Other names 1

  • American Canyon Dental CAre Doing business as

National Provider Directory

National Provider Directory

Locations

3431 Broadway St
Ste A7
American Canyon, CA 94503
Phone (707) 557-5057

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1720090863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3431 BROADWAY ST",
            "address_2": "SUITE A-7",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "945031228",
            "telephone_number": "707-557-5057",
            "fax_number": "707-557-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3431 BROADWAY ST",
            "address_2": "SUITE A-7",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "945031228",
            "telephone_number": "707-557-5057",
            "fax_number": "707-557-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIA VILLA, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "VILLA",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-557-5057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "38471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Canyon Dental CAre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in American Canyon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.