Richard E Aguila, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN 16648 Issued in FL

Practice address

11512 Lake Mead Ave Unit 532
Jacksonville, FL 32256-9733

Phone

(904) 683-4781

Fax

(904) 683-3914

NPI assigned

Jan 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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.

• Agerico M Sayoc DMD MSD PA

  • Prosthodontics
  • Jacksonville, FL
  • NPI 1255470936
  NPD (past)
• Jacksonville Dental Specialists

  • Prosthodontics
  • Jacksonville, FL
  • NPI 1568915387

  Periodontics

  NPD (past)

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1265412290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11512 LAKE MEAD AVE UNIT 532",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569733",
            "telephone_number": "904-683-4781",
            "fax_number": "904-683-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11512 LAKE MEAD AVE UNIT 532",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569733",
            "telephone_number": "904-683-4781",
            "fax_number": "904-683-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILA",
        "first_name": "RICHARD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN16648",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN 16648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neha Agrawal, MD
• Poorvi Agrawal, MD
• Nicholas J. Agresti, MD
• Andrea M Aguayo
• Lilisbet Aguero Lopez
• Tatiana Michel Aguilar Hernandez
• Laura Aguilar Milanes
• Pedro Aguilar Salinas, MD
• Eben C Aguilar
• Gonzalo A Aguilar, M.D., P.A.

• Periodontics in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.