Organization Active NPI

Ac Villarreal Family Dental

  • General Practice Dentistry
  • Edinburg, TX
National Provider Identifier
1992296685
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31215 Issued in TX
Legal business name
AC VILLARREAL FAMILY DENTAL
Practice address
1123 S 10TH Ave
Edinburg, TX 78539-5547
Phone
(956) 318-3384
NPI assigned
May 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Authorized official

Name
Dr. Anthony Conner Villarreal, DDSNPI 1891179362
Title
Dentist
Phone
(956) 650-2414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 31215 TX Primary

Addresses

Primary practice location

1123 S 10TH Ave
Edinburg, TX 78539-5547

Mailing address

611 Panchita St
Weslaco, TX 78596-3638
Phone (956) 650-2414

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614038400000",
    "number": "1992296685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 PANCHITA ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785963638",
            "telephone_number": "956-650-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 S 10TH AVE",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785395547",
            "telephone_number": "956-318-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AC VILLARREAL FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "CONNER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "956-650-2414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.