Daira M. Avila, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 19318 Issued in FL

Practice address

4039 13TH St
Saint Cloud, FL 34769-6772

Phone

(407) 892-1643

NPI assigned

Jun 17, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1497040455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8868 NW 108TH LN",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184525",
            "telephone_number": "786-252-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4039 13TH ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696772",
            "telephone_number": "407-892-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA",
        "first_name": "DAIRA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-17",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 19318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Ault
• Shamadevi Autar, COTA
• Avante at St. Cloud, Inc.
• Juan Rafael Avelino, P.T.
• Avenue One Chiropractic LLC
• Nellyvette Aviles
• Wanda Ivette Aviles
• Avs Medical LLC
• Matilde Aybar
• Erdem Murat Aydur, M.D.

• General Practice Dentistry in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.