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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.