Active NPI
Ava Vakili, DDS, Inc
- Orthodontics and Dentofacial Orthopedics Dentistry
- Santa Rosa, CA
National Provider Identifier
1194693713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ava Vakili, MS, DDS, MSD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 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 DirectoryLocations
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Santa Rosa, CA
- NPI 1205657244
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.