Individual provider Active NPI

Ailyn Avila Portal, DMD

  • Dentist
  • Miami, FL
National Provider Identifier
1245963834
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN27041 Issued in FL
Practice address
2340 Coral Way
Miami, FL 33145-3511
Phone
(305) 856-1178
NPI assigned
Jul 1, 2022
Last updated
Feb 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN27041 FL Primary

Addresses

Primary practice location

2340 Coral Way
Miami, FL 33145-3511

Mailing address

3301 NE 1St Ave Apt H1401
Miami, FL 33137-4262
Phone (305) 801-5277

Other practice location 1

9200 113th St N
Seminole, FL 33772-2800
Phone (727) 893-5050

Other practice location 2

255 SE 14th St Ste 200
Fort Lauderdale, FL 33316-1852
Phone (754) 354-0363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN27041FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1245963834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 NE 1ST AVE APT H1401",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331374262",
            "telephone_number": "305-801-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 CORAL WAY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453511",
            "telephone_number": "305-856-1178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9200 113th St N",
            "address_purpose": "LOCATION",
            "city": "Seminole",
            "state": "FL",
            "postal_code": "337722800",
            "country_code": "US",
            "telephone_number": "727-893-5050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 SE 14th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333161852",
            "country_code": "US",
            "telephone_number": "754-354-0363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVILA PORTAL",
        "first_name": "AILYN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-01",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN27041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.