Individual provider Active NPI

Carlos Elias Villacis, DDS

  • Dentist
  • Hialeah, FL
National Provider Identifier
1740835883
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN24460 Issued in FL
Practice address
6450 W 21St CT Ste 300
Hialeah, FL 33016-3943
Phone
(786) 566-8557
NPI assigned
Aug 6, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN24460 FL Primary
Dentist 122300000X 17083 MD

Addresses

Primary practice location

6450 W 21St CT Ste 300
Hialeah, FL 33016-3943

Mailing address

6450 W 21St CT Ste 300
Hialeah, FL 33016-3943
Phone (786) 566-8557

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN24460FLMDDentist
17083MDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ib Dental I, P.C. PastSince Aug 18, 2019 Accepting new patients
Baltimore North Smiles Youth Dentistry, PC PastSince Aug 18, 2019 Accepting new patients

Organizations & group practices 2

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": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1740835883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 W 21ST CT STE 300",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330163943",
            "telephone_number": "786-566-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 W 21ST CT STE 300",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330163943",
            "telephone_number": "786-566-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLACIS",
        "first_name": "CARLOS",
        "middle_name": "ELIAS",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-06",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN24460",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "17083",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.