Villaz Dental PC

Primary specialty

DentistTaxonomy code 122300000X

License

019028703 Issued in IL

Legal business name

VILLAZ DENTAL PC

Practice address

298 W North Ave
Villa Park, IL 60181-1159

Phone

(630) 530-9000

NPI assigned

Oct 19, 2016

Organization subpart

No

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

Authorized official

Name

Nishu Sharma

Title

President

Phone

(630) 530-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1801347323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 W NORTH AVE",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601811159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 W NORTH AVE",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601811159",
            "telephone_number": "630-530-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAZ DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "NISHU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-530-9000"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019028703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1063709186",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Villa Park Home Dialysis LLC
• Villa Park Pharmacy Inc
• Villa Park School District 45
• Village of Villa Park Office of the Treasurer
• Villapark Medical Imaging Inc
• Mansoor Virani, DPM
• Vna Health Care
• Alyson Nicole Wagner, PT, DPT, MS
• Wal-Mart Stores, Inc
• Walgreen Co

• Dentist in Villa Park, IL
• Providers in Villa Park, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.