Manuela Avila, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2018043082 Issued in MO

Practice address

1205 NE Coronado Dr
Blue Springs, MO 64014-2928

Phone

(816) 228-4090

NPI assigned

Feb 20, 2019

Last updated

Feb 20, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: manuela.avila.p1@direct.preventativehealth.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alex Sharifian DDS Blue Springs Dentistry PC

  dba Blue Springs Dentistry

  • General Practice Dentistry
  • Blue Springs, MO
  • NPI 1083027411
  NPD (past)
• Preventative Care Health Service, Inc.

  dba Presidio County Health Services, Inc

  • Dental Clinic/Center
  • Presidio, TX
  • NPI 1093890634
  NPD (past)
• Preventative Care Health Services, Inc

  dba Family Health Services of Alpine

  • Federally Qualified Health Center (FQHC)
  • Alpine, TX
  • NPI 1518347921
  NPD (past)

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1043777501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W 20TH ST APT 409",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082080",
            "telephone_number": "915-497-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 NE CORONADO DR",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142928",
            "telephone_number": "816-228-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA",
        "first_name": "MANUELA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2018043082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greta Kristine Aronson, LPC
• Ashlynn Arth
• Athletico LTD (Athletico Physical Therapy)
• George M Austin, M.D
• Autis-Imagination LLC
• Robert Kyle Avondet, DDS
• Gladys Azzun-Baumgartner, APRN
• Shelby Bachman
• Deanna Marie Bafus, NP-C
• Ashley John Bahr, DDS

• General Practice Dentistry in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.