Organization Active NPI

Vaida Avery D.D.S., Inc

  • Dentist
  • San Diego, CA
National Provider Identifier
1447130208
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
VAIDA AVERY D.D.S., INC
Practice address
2036 Hornblend St
San Diego, CA 92109-4638
Phone
(858) 270-6711
Fax
(858) 270-6711
NPI assigned
Sep 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Authorized official

Name
Dr. Vaida Avery, DDSNPI 1417169616
Title
President
Phone
(858) 205-9242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2036 Hornblend St
San Diego, CA 92109-4638

Mailing address

2036 Hornblend St
San Diego, CA 92109-4638
Phone (858) 270-6711

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1447130208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 HORNBLEND ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094638",
            "telephone_number": "858-270-6711",
            "fax_number": "858-270-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2036 HORNBLEND ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094638",
            "telephone_number": "858-270-6711",
            "fax_number": "858-270-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAIDA AVERY D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "AVERY",
        "authorized_official_first_name": "VAIDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-205-9242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.