Anastasia Avina, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN63067 Issued in CA

Practice address

1060 W Busch Blvd
105
Tampa, FL 33612-7707

Phone

(813) 931-4000

NPI assigned

Sep 21, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Avina Dental Corporation

  • Dental Clinic/Center
  • San Diego, CA
  • NPI 1407489123
  NPD Authorized official
• Kurt Christensen DDS Inc

  • Dentist
  • San Diego, CA
  • NPI 1871463042
  NPD

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1164705679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12395 EL CAMINO REAL STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 W BUSCH BLVD",
            "address_2": "105",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127707",
            "telephone_number": "813-931-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12395 El Camino Real Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921303083",
            "country_code": "US",
            "telephone_number": "858-350-0337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVINA",
        "first_name": "ANASTASIA",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19505",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DN63067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tereza-Marie Avila, RBT
• Ayla M Aviles
• Bluette Aviles
• Samuel Aviles, CSFA
• Stephano Daniel Aviles
• Avion Anesthesia, PLLC
• Avita Medical Clinic LLC
• Avocy Health Florida, LLC
• Ana Avram Fletcher, PHARMD
• Trenton Avriett

• General Practice Dentistry in Tampa, FL
• Providers in Tampa, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.