Active NPI
Alexander Villares, MD
- Surgery Physician
- Phoenix, AZ
National Provider Identifier
1730155086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 32704
- Practice address
- 3811 E Bell Rd Ste 206
Phoenix, AZ 85032-2159 - Phone
- (480) 725-8627
- Fax
- (480) 725-8629
- NPI assigned
- Feb 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 32704 | AZ | Primary |
Addresses
Primary practice location
3811 E Bell Rd Ste 206
Phoenix, AZ 85032-2159
Mailing address
3811 E Bell Rd Ste 206
Phoenix, AZ 85032-2159
Phone (480) 725-8627
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 868466 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32704 | AZ | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421971200000",
"number": "1730155086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3811 E BELL RD STE 206",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850322159",
"telephone_number": "480-725-8627",
"fax_number": "480-725-8629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3811 E BELL RD STE 206",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850322159",
"telephone_number": "480-725-8627",
"fax_number": "480-725-8629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLARES",
"first_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2015-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "32704",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "868466",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.