Alyssa Nicole Avila, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

105616 Issued in CA

Practice address

1331 W Lacey Blvd
Hanford, CA 93230-5904

Phone

(559) 582-2893

NPI assigned

Sep 29, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1093322356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 W LACEY BLVD",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932305904",
            "telephone_number": "559-582-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 W LACEY BLVD",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932305904",
            "telephone_number": "559-582-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA",
        "first_name": "ALYSSA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "105616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aspiranet
• Karen Lynn Atkinson, P.A.
• Alvin Y Au, MD FACG
• Monique Ann Avalos
• Jennifer D Avery
• Balea Avila, RDHAP
• Shanelle M Ayala Milan
• Barbara Louise Ayers, PH.D
• Marlene Louise Ayers, LVN
• Jacob Awar Ayuen

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.