James Kellan Villalon, DDS, MPH

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

License

GEN.02786194 Issued in CO

Practice address

1225 N Main St Ste 207
Pueblo, CO 81003-2857

Phone

(719) 286-0733

NPI assigned

Aug 7, 2015

Last updated

Dec 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Southern Colorado Dental Anesthesiology

  dba Villalon Anesthesiology

  • Dental Clinic/Center
  • Pueblo, CO
  • NPI 1801406434
  NPD Authorized official

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1851777304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 N MAIN ST STE 207",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032857",
            "telephone_number": "719-286-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 N MAIN ST STE 207",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032857",
            "telephone_number": "719-286-0733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5352 Warwick St",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810055540",
            "country_code": "US",
            "telephone_number": "719-564-9410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLALON",
        "first_name": "JAMES",
        "middle_name": "KELLAN",
        "name_prefix": "Dr.",
        "credential": "DDS, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-07",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "11742",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "203024",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "CO",
            "license": "GEN.02786194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Village Physical Therapy, PC (PT Solutions of Colorado)
• Leslie Villalobos
• Elmer Alex Villalon, DMD
• Rylie Villalpando, SLP
• Hope Villanueva
• Danielle Villegas
• Cheyenne Vinci
• Moneeb Anwar Virk, M.D

• Dental Anesthesiology in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Dental Anesthesiology in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.