Organization Active NPI

Ava Vakili, DDS, Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Santa Rosa, CA
National Provider Identifier
1194693713
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
AVA VAKILI, DDS, INC
Practice address
4655 Hoen Ave Ste 7
Santa Rosa, CA 95405-7830
Phone
(650) 440-0398
NPI assigned
Oct 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Authorized official

Name
Dr. Ava Vakili, MS, DDS, MSDNPI 1205657244
Title
President
Phone
(650) 440-0398

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

4655 Hoen Ave Ste 7
Santa Rosa, CA 95405-7830

Mailing address

4655 Hoen Ave Ste 7
Santa Rosa, CA 95405-7830
Phone (650) 440-0398

National Provider Directory

National Provider Directory

Locations

4655 Hoen Ave
Ste 7
Santa Rosa, CA 95405
Phone (650) 440-0398

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1761523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1194693713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 HOEN AVE STE 7",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057830",
            "telephone_number": "650-440-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 HOEN AVE STE 7",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057830",
            "telephone_number": "650-440-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVA VAKILI, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-26",
        "status": "A",
        "authorized_official_last_name": "VAKILI",
        "authorized_official_first_name": "AVA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-440-0398",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MS, DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.