Avina Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

AVINA DENTAL CORPORATION

Practice address

12395 El Camino Real Ste 101
San Diego, CA 92130-3083

Phone

(858) 350-0337

NPI assigned

Feb 20, 2020

Organization subpart

No

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

Authorized official

Name

Anastasia AvinaNPI 1164705679

Title

President

Phone

(858) 350-0337

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anastasia Avina, D.D.S

  • General Practice Dentistry
  • Tampa, FL
  • NPI 1164705679
  NPD Authorized official
• Markos N Botros, D.D.S.

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1568795185
  NPD (past)
• Steven Frank Jaksha, D.M.D.

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1114063419
  NPD (past)

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1407489123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12395 EL CAMINO REAL STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12395 EL CAMINO REAL STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303083",
            "telephone_number": "858-350-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVINA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "AVINA",
        "authorized_official_first_name": "ANASTASIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-350-0337"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Bitdefender",
            "affiliation": "N",
            "address_1": "12395 El Camino Real Ste 101",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921303083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Charysse Marie Dilay Aviles, LCSW
• Erika Isabelle Aviles
• Johnny Gil Aviles, HOSPITAL CORPSMAN
• Julie S Aviles, RD
• Jasmine Avilez, MA
• Avina Psychological Services, Inc.
• Alan Arturo Avina
• Anthony Roy Avina
• Cheryl L. Avina, MFT
• Luis Eduardo Avina

• Dental Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.