Eduardo A Avila, D.M.D., M.P.H.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

MD13796 Issued in MD

Practice address

11400 Rockville Pike Ste 805
Rockville, MD 20852-3054

Phone

(301) 770-3922

Fax

(301) 770-5105

NPI assigned

Jun 17, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Eduardo a. Avila, DMD, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rockville, MD
  • NPI 1225339328
  NPD (past) Authorized official

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1235134032",
    "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": {
        "last_name": "AVILA",
        "first_name": "EDUARDO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "MD13796",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "D16128",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "DC",
            "license": "1000783",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenifer Ann Aventuro, M.D.
• Avenues ABA MD LLC
• Avery Halfway House
• Chris Avery
• Elizabeth Avery
• Rebecca Avila
• Lesther Aviles
• Aminan Avion
• Karim Aw
• Shehar Bano Awan, DMD

• Orthodontics and Dentofacial Orthopedics Dentistry in Rockville, MD
• Providers in Rockville, MD by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Maryland

• 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.