Active NPI
Christian Villegas
- Dentist
- Bakersfield, CA
National Provider Identifier
1871062935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 102815
- Practice address
- 9510 Hageman Rd Ste B
Bakersfield, CA 93312-3953 - Phone
- (661) 829-2700
- NPI assigned
- Nov 19, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 102815 | CA | Primary |
Addresses
Primary practice location
9510 Hageman Rd Ste B
Bakersfield, CA 93312-3953
Mailing address
4601 Granite Mountain CT
Bakersfield, CA 93311-3083
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
| License | State | Type | Specialty |
|---|---|---|---|
| 102815 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huynh and Watanabe Dental Corporation | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba River Lakes Dental Group
- General Practice Dentistry
- Bakersfield, CA
- NPI 1225137573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542585600000",
"number": "1871062935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 GRANITE MOUNTAIN CT",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933113083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9510 HAGEMAN RD STE B",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933123953",
"telephone_number": "661-829-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLEGAS",
"first_name": "CHRISTIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-19",
"last_updated": "2018-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "102815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.