Active NPI
Eric A. Avitia, DDS
- General Practice Dentistry
- Las Vegas, NV
National Provider Identifier
1609051903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5609
- Practice address
- 7945 W Sahara Ave
Ste 101
Las Vegas, NV 89117-7950 - Phone
- (702) 363-0421
- Fax
- (702) 363-8951
- NPI assigned
- Jan 4, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5609 | NV | Primary |
Addresses
Primary practice location
7945 W Sahara Ave
Ste 101
Las Vegas, NV 89117-7950
Mailing address
7945 W Sahara Ave Ste 101
Las Vegas, NV 89117-7908
Phone (702) 363-0421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5609 | NV | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eric Avitia DDS, LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Las Vegas, NV
- NPI 1194128298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429056000000",
"number": "1609051903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7945 W SAHARA AVE STE 101",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891177908",
"telephone_number": "702-363-0421",
"fax_number": "702-363-8951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7945 W SAHARA AVE",
"address_2": "STE 101",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891177950",
"telephone_number": "702-363-0421",
"fax_number": "702-363-8951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVITIA",
"first_name": "ERIC",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-04",
"last_updated": "2015-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "5609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.