DR. JUSTIN VILLANUEVA DMD, MSD, DHL
NPI 1174076236
Dentist - Periodontics in Lafayette, IN
About Dr. Justin Villanueva Dmd, Msd, Dhl NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JUSTIN VILLANUEVA DMD, MSD, DHL (NPI 1174076236) is an individual periodontics provider in Lafayette, Indiana, licensed in Indiana (12013130A) and active in the NPI registry since July 2016. He has opted out of Medicare through June 10, 2028 and remains eligible to order and refer and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Justin Villanueva Dmd, Msd, Dhl has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 10, 2020 through June 10, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 47904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Justin Villanueva's NPI number?
The NPI number for Justin Villanueva is 1174076236. It was assigned to this individual provider in the NPPES registry on July 25, 2016.
Where is Justin Villanueva located?
Justin Villanueva practices at 415 N 26th St Ste 303, Lafayette, IN 47904. The listed phone number is (765) 447-9319.
What is Justin Villanueva's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.
Is Justin Villanueva enrolled in Medicare?
No. Justin Villanueva has opted out of Medicare through June 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Justin Villanueva accept?
Health plans from Delta Dental of Indiana list Justin Villanueva as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Justin Villanueva was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Justin Villanueva, DMD, MSD, DHL · NPI 1174076236
Periodontics provider in Lafayette, Indiana. Individual provider, active in the CMS NPPES registry since July 25, 2016.
## Identity
- **NPI:** 1174076236 (Entity type: Individual)
- **Enumerated:** July 25, 2016
- **Primary specialty:** Dentist - Periodontics · taxonomy 1223P0300X
- **State license:** 12013130A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 415 N 26TH ST STE 303, Lafayette, IN 47904-2893
- **Phone:** (765) 447-9319
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through June 10, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** August 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1174076236) · Data from the CMS NPPES public registry.