Hilda Ivelisse Avila, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

015688 Issued in GA

Practice address

3500 Professional Cir
Martinez, GA 30907-8230

Phone

(706) 860-9882

Fax

(706) 860-4740

NPI assigned

Sep 29, 2006

Last updated

Feb 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• David Alemar DMD PC

  • General Practice Dentistry
  • Martinez, GA
  • NPI 1235837337
  NPD
• Clinica Dental Torres Fernandez LLC

  dba Grupo Dental Torres Fernandez

  • Dentist
  • San Juan, PR
  • NPI 1710082151

  General Practice

  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1447342134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 PROFESSIONAL CIR",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309078230",
            "telephone_number": "706-860-9882",
            "fax_number": "706-860-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 PROFESSIONAL CIR",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309078230",
            "telephone_number": "706-860-9882",
            "fax_number": "706-860-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA",
        "first_name": "HILDA",
        "middle_name": "IVELISSE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2509",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "015688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Augusta Home Care Services, LLC (Trinity Home Health)
• Augusta in Home Care, LLC
• Augusta Plastic Surgery Associates
• Augusta Plastic Surgery Center, Inc.
• Augusta Smilecare PC
• Brittney Ayers
• Amy Bachman-Cliett, MA, BCBA
• Kimberly Bagwell, PHARMD
• Jakelia Baker
• Tamarkus Baker

• General Practice Dentistry in Martinez, GA
• Providers in Martinez, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.