Organization Active NPI

Villacis Dental Corporation

  • Dental Clinic/Center
  • Carson, CA
National Provider Identifier
1750747234
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
41690 Issued in CA
Legal business name
VILLACIS DENTAL CORPORATION
Practice address
520 E Carson Plaza CT
Ste 101
Carson, CA 90746-3289
Phone
(310) 313-5150
Fax
(310) 313-5154
NPI assigned
Jan 13, 2016
Last updated
May 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Dr. Saskia M VillacisNPI 1851493084
Title
DDS
Phone
(310) 313-5150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 41690 CA Primary

Addresses

Primary practice location

520 E Carson Plaza CT
Ste 101
Carson, CA 90746-3289

Mailing address

520 E. Carson Plaza Curt
Ste 101
Carson, CA 90746-3844
Phone (310) 313-5150

National Provider Directory

National Provider Directory

Locations

520 E Carson Plaza Ct
Ste 101
Carson, CA 90746
Phone (310) 313-5150

Practitioners & affiliated clinicians

Practitioners 1

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": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1750747234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E. CARSON PLAZA CURT",
            "address_2": "STE 101",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463844",
            "telephone_number": "310-313-5150",
            "fax_number": "310-313-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E CARSON PLAZA CT",
            "address_2": "STE 101",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463289",
            "telephone_number": "310-313-5150",
            "fax_number": "310-313-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLACIS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "VILLACIS",
        "authorized_official_first_name": "SASKIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "310-313-5150",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "41690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.