Active NPI
Christian Edgar Davila, DDS,MS
- Oral and Maxillofacial Surgery (Dentist)
- Tampa, FL
National Provider Identifier
1346348166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DN13352
- Practice address
- 4712 N Armenia Ave
Suite 100
Tampa, FL 33603-2611 - Phone
- (813) 872-9313
- Fax
- (813) 354-9446
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | DN13352 | FL | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DN13352 | FL | Primary |
Addresses
Primary practice location
4712 N Armenia Ave
Suite 100
Tampa, FL 33603-2611
Mailing address
4712 N Armenia Ave
Suite 100
Tampa, FL 33603-2611
Phone (813) 872-9313
Other practice location 1
1600 SW Archer Rd
Gainesville, FL 32610-2611
Phone (352) 273-5199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2023 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13352 | FL | MD | Occupational Therapist |
Interoperability endpoints
- cdavila660125@direct.shands.ufl.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705449600000",
"number": "1346348166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4712 N ARMENIA AVE",
"address_2": "SUITE 100",
"city": "TAMPA",
"state": "FL",
"postal_code": "336032611",
"telephone_number": "813-872-9313",
"fax_number": "813-354-9446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4712 N ARMENIA AVE",
"address_2": "SUITE 100",
"city": "TAMPA",
"state": "FL",
"postal_code": "336032611",
"telephone_number": "813-872-9313",
"fax_number": "813-354-9446"
}
],
"practiceLocations": [
{
"address_1": "1600 SW Archer Rd",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326102611",
"country_code": "US",
"telephone_number": "352-273-5199",
"fax_number": "352-392-6781",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVILA",
"first_name": "CHRISTIAN",
"middle_name": "EDGAR",
"name_prefix": "Dr.",
"credential": "DDS,MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "FL",
"license": "DN13352",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "FL",
"license": "DN13352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.