Angela Annette Avila, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

49460 Issued in CA

Practice address

8300 Limonite Ave
Ste C
Riverside, CA 92509-5174

Phone

(951) 361-0443

Fax

(951) 685-5098

NPI assigned

Jul 20, 2006

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Indian Hills Dental, Avila Dental Corporation

  • Dental Clinic/Center
  • Riverside, CA
  • NPI 1720577570
  NPD (past) Authorized official

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063432367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 LIMONITE AVE",
            "address_2": "STE C",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925095174",
            "telephone_number": "951-361-0443",
            "fax_number": "951-685-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 LIMONITE AVE",
            "address_2": "STE C",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925095174",
            "telephone_number": "951-361-0443",
            "fax_number": "951-685-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA",
        "first_name": "ANGELA",
        "middle_name": "ANNETTE",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "49460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charissa Meili Avera, B.S
• Avery Garden Assisted Living- Riverside
• Mark A Avery
• Emily Avila- Flores
• Camila Avila-Meza
• Carina Avila
• Carmelina Nancy Avila, R.N.
• Claudia Avila, LCSW
• Eden Saray Avila, PA-C
• Karina Avila

• Dentist in Riverside, CA
• Providers in Riverside, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.