NPIMap

Organization Active NPI

Villaconn LLC

  • Dentist
  • Lincoln, NE
National Provider Identifier
1912271966
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6696 Issued in NE
Legal business name
VILLACONN LLC
Practice address
5760 S 86TH St # 2
Lincoln, NE 68526-6053
Phone
(402) 484-5760
Fax
(402) 484-0229
NPI assigned
Mar 7, 2012
Last updated
Mar 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Authorized official

Name
Dr. Justin J Villafane, DDSNPI 1124218052
Title
President, Owner
Phone
(402) 484-5760

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
Dentist 122300000X 6696 NE Primary

Addresses

Primary practice location

5760 S 86TH St # 2
Lincoln, NE 68526-6053

Mailing address

5760 S 86TH St # 2
Lincoln, NE 68526-6053
Phone (402) 484-5760

National Provider Directory

National Provider Directory

Locations

5760 S 86th St
#2
Lincoln, NE 68526
Phone (402) 484-0326

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": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1912271966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5760 S 86TH ST # 2",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685266053",
            "telephone_number": "402-484-5760",
            "fax_number": "402-484-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5760 S 86TH ST # 2",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685266053",
            "telephone_number": "402-484-5760",
            "fax_number": "402-484-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLACONN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "VILLAFANE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "402-484-5760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "6696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.