Active NPI
George Villa, D.C.
- Chiropractor
- Waco, TX
National Provider Identifier
1780734525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 9045
- Practice address
- 611 W State Highway 6 Ste 113
Waco, TX 76710-7545 - Phone
- (254) 776-3600
- Fax
- (254) 776-3602
- NPI assigned
- Jan 12, 2007
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 9045 | TX | Primary |
Addresses
Primary practice location
611 W State Highway 6 Ste 113
Waco, TX 76710-7545
Mailing address
PO Box 23452
Waco, TX 76702-3452
Phone (254) 776-3600
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9045 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthshield, Inc. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Waco, TX
- NPI 1225374663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780734525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23452",
"city": "WACO",
"state": "TX",
"postal_code": "767023452",
"telephone_number": "254-776-3600",
"fax_number": "254-776-3602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 W STATE HIGHWAY 6 STE 113",
"city": "WACO",
"state": "TX",
"postal_code": "767107545",
"telephone_number": "254-776-3600",
"fax_number": "254-776-3602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLA",
"first_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "9045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.