DR. JAMES KELLAN VILLALON (NPI# 1851777304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851777304 |
| Entity Type | Individual |
| Full Name | DR. JAMES KELLAN VILLALON |
| Credential | DDS, MPH |
| Practice Address |
1225 N Main St Ste 207 Pueblo CO 81003-2857 |
| Mailing Address |
5352 Warwick St Pueblo CO 81005-5540 |
| Practice Telephone | 7192860733 |
| Mailing Telephone | 7195649410 |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2020-09-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 11742 | CT | Dental Providers |
| N | 122300000X | Dentist | 203024 | CO | Dental Providers |
| Y | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
00203024 | CO | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5352 Warwick St, Pueblo, CO 810055540 | 7195649410 |
| Street Address |
1225 N MAIN ST STE 207 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81003-2857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406434 | Southern Colorado Dental Anesthesiology | Clinic/Center | 1225 N Main St Ste 207, Pueblo, CO 81003-2857 | 2020-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042016 | Sunil Kumar | Student in an Organized Health Care Education/Training Program | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2020-04-21 |
| 1497382303 | Pueblo Family Dentistry Pllc | Dentist | 701 N Grand Avenue, Suite B, Pueblo, CO 81003 | 2020-03-23 |
| 1023654241 | Elmer A. Villalon, Dmd, LLC | Clinic/Center | 1225 North Main Street, #207, Pueblo, CO 81003 | 2019-11-22 |
| 1518434349 | Mariam Rahim | Internal Medicine | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-10-30 |
| 1003308222 | Julia Mcneice | Internal Medicine | Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-06-04 |
| 1689164857 | Jessica Sels | Internal Medicine | Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 | 2018-05-14 |
| 1700313459 | Allison Vigil | Occupational Therapist | 1600 W. 24th St, Pueblo, CO 81003 | 2017-05-12 |
| 1245682020 | Paul S Bongat | Internal Medicine | 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 | 2016-07-06 |
| 1013368596 | Daniel R Long | Internal Medicine | 411 West 14th Street, Pueblo, CO 81003 | 2016-06-27 |
| 1396195665 | Parkview Medical Center | General Acute Care Hospital | 411 W. 14th St, Pueblo, CO 81003 | 2016-06-17 |
| Find all providers in zip 81003 | ||||
| Taxonomy Code | 1223D0004X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dentist Anesthesiologist |
| A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation’s Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. |
| Notes: Source: The American Society of Dentist Anesthesiologists [1/1/2013: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457843799 | Kristopher Mendoza | Dentist | 811 Brickyard Cir # A, Golden, CO 80403-8058 | 2018-06-02 |
| 1093222788 | Sleepcare Dental LLC | Dentist | 5005 S Kipling Pkwy Ste A7-394, Littleton, CO 80127-7930 | 2018-01-04 |
| 1649785197 | 5280 Dentistry and Anesthesia | Dentist | 2422 Glenarm Pl, Denver, CO 80205-3129 | 2017-12-06 |
| 1326494451 | Fort Collins Kids Dentistry | Dentist | 313 Wood St, Fort Collins, CO 80521-1954 | 2016-05-07 |
| 1114307899 | Denver Anesthesia Dentistry | Dentist | 5420 Lakeshore Dr, Littleton, CO 80123 | 2015-06-08 |
| 1871831594 | Nishant Chauhan | Dentist | 5005 S Kipling Pkwy, Ste A7-394, Littleton, CO 80127-7930 | 2013-01-31 |
| 1689935975 | Bradley W Green | Dentist | 1745 Shea Center Dr Fl 4, Highlands Ranch, CO 80129-1537 | 2012-06-03 |
| 1942868690 | Rocky Mountain Dental Anesthesia | Dentist | 811 Brickyard Cir, Golden, CO 80403-8058 | 2019-05-29 |
| 1609250810 | San Juan Dental Anesthesia Services, Professional LLC | Dentist | 835 E 2nd Ave, Suite 270, Durango, CO 81301-5475 | 2015-07-17 |
| 1285070938 | Philip M. Yen | Dentist | 8301 E Prentice Ave Ste 215, Greenwood Village, CO 80111-2990 | 2013-05-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.