Rosemary Villa, DDS, MAGD, FICD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-021786 Issued in IL

Practice address

3827 E Main St
St Charles, IL 60174-2424

Phone

(630) 524-4445

Fax

(630) 524-4446

NPI assigned

Jan 25, 2007

Last updated

May 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Smyles and Company PLLC

  • Dentist
  • St Charles, IL
  • NPI 1891422705
  NPD Authorized official
• Anthony G. Milazzo, DDS, PC

  • General Practice Dentistry
  • Oswego, IL
  • NPI 1629166681
  NPD (past)
• Oswego Dental Group, LLC

  • General Practice Dentistry
  • Oswego, IL
  • NPI 1174181770
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1740335942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3827 E MAIN ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742424",
            "telephone_number": "630-524-4445",
            "fax_number": "630-524-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3827 E MAIN ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742424",
            "telephone_number": "630-524-4445",
            "fax_number": "630-524-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLA",
        "first_name": "ROSEMARY",
        "name_prefix": "Dr.",
        "credential": "DDS, MAGD, FICD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-021786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vertical Family Healthcare
• Vianova Psychology, PLLC
• Jeff T Victor, D.O.
• Abigail Vidal
• Nikko Gian Viejon
• Vitahealth Services LLC (Interim HealthCare of Kane County)
• Cosmo August Vivirito, DMD
• Rose M. Vivirito, D.D.S.
• Domenique Colomba Voelsch, DC
• Alina Maria Volodka, PA-C

• General Practice Dentistry in St Charles, IL
• Providers in St Charles, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.