| NPI | 1194780502 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-04-19 |
| Last Updated | 2025-08-21 |
| Mailing Address | 23880 Fairmount Blvd Shaker Heights, OH 44122-2206 United States Phone: (216) 381-2010 📍 View Map |
| Primary Practice Address | 23880 Fairmount Blvd Shaker Heights, OH 44122-2206 United States Phone: (216) 381-2010 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | OH | 2055707 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 1223G0001X – Dentist, General Practice | OH | 30018298 |
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About NPI 1194780502
Matthew John Villaire DDS is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1194780502. The primary specialty listed is Dentist, General Practice. The provider is located in Shaker Heights, OH. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-04-19. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1194780502?
NPI 1194780502 belongs to Matthew John Villaire DDS, a Dentist, General Practice in Shaker Heights, OH. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1194780502 active?
The current status of NPI 1194780502 in the NPPES registry is Active. The record was last updated on 2025-08-21.
What specialty is NPI 1194780502?
NPI 1194780502 is classified under the taxonomy Dentist, General Practice. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1194780502?
You can verify NPI 1194780502 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1194780502?
The primary practice address on file for NPI 1194780502 is 23880 Fairmount Blvd, Shaker Heights, OH 44122-2206. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1194780502 issued?
NPI 1194780502 was first issued (enumerated) on 2006-04-19. The NPPES record was last updated on 2025-08-21.
Practice Location Map
Matthew John Villaire is located at 23880 Fairmount Blvd, Shaker Heights, OH. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Matthew John Villaire. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1194780502. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dentist, General Practice | 30018298 | OH |