Organization Active NPI

Eduardo a. Avila, DMD, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rockville, MD
National Provider Identifier
1225339328
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
EDUARDO A. AVILA, DMD, LLC
Practice address
11400 Rockville Pike Ste 805
Rockville, MD 20852-3054
Phone
(301) 770-3922
Fax
(301) 770-5105
NPI assigned
Nov 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Authorized official

Name
Dr. Eduardo A. Avila, DMD, MPHNPI 1235134032
Title
Orthodontist
Phone
(301) 684-8586

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

11400 Rockville Pike Ste 805
Rockville, MD 20852-3054

Mailing address

11400 Rockville Pike Ste 805
Rockville, MD 20852-3054
Phone (301) 770-3922

National Provider Directory

National Provider Directory

Locations

11400 Rockville Pike
Ste 805
Rockville, MD 20852
Phone (301) 770-3922

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1225339328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 ROCKVILLE PIKE STE 805",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523054",
            "telephone_number": "301-770-3922",
            "fax_number": "301-770-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 ROCKVILLE PIKE STE 805",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523054",
            "telephone_number": "301-770-3922",
            "fax_number": "301-770-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUARDO A. AVILA, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-06",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "301-684-8586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MPH"
    },
    "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 Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.