Ron Avila

Individual provider Active NPI Contractor · Lincoln, NE

NPI 1346038452 · NPPES record last updated Apr 28, 2025

Key facts

NPI
1346038452
Entity type
Individual (NPI type 1)
Primary specialty
Contractor 171W00000X
Practice address
7140 S 30TH PL
Lincoln, NE 68516-4858
Phone
(402) 440-2265
NPI assigned
Apr 28, 2025
Sex
Male
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X Yes

Addresses

Primary practice location

7140 S 30TH PL
Lincoln, NE 68516-4858

Mailing address

7140 S 30TH PL
Lincoln, NE 68516-4858
Phone (402) 440-2265

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 28, 2025.

{
    "created_epoch": "1745798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1346038452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7140 S 30TH PL",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164858",
            "telephone_number": "402-440-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7140 S 30TH PL",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164858",
            "telephone_number": "402-440-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA",
        "first_name": "RON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

All providers in Lincoln, NE · Contractor in Nebraska

Sources for this page

Verify at the official NPI Registry.