Edward A. Avakoff Jr., D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

25859 Issued in CA

Practice address

1080 Scott Blvd Ste 4
Santa Clara, CA 95050-5237

Phone

(408) 246-2550

Fax

(408) 246-0339

NPI assigned

May 18, 2007

Last updated

Apr 13, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Edward a. Avakoff D.D.S., Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Santa Clara, CA
  • NPI 1083822654
  NPD (past) Authorized official

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239580800000",
    "number": "1235347584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 SCOTT BLVD STE 4",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950505237",
            "telephone_number": "408-246-2550",
            "fax_number": "408-246-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 SCOTT BLVD STE 4",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950505237",
            "telephone_number": "408-246-2550",
            "fax_number": "408-246-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVAKOFF",
        "first_name": "EDWARD",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2009-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "25859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aye Min-Than Aung, MD
• Myo M. Aung, MD
• Auralynx LLC
• Janele Marie Auranicky, PSY.D.
• Janice Austin-Taylor, LMFT
• Leslie Avalos
• Shiva Avari, MD
• Casey Avila
• Cristina Avina
• Rachel Michal Aviv, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; 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.