Juan Diego Aguilera Ayala, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

2901603249 Issued in MI

Practice address

430 S Main St
Clawson, MI 48017

Phone

(248) 306-8530

NPI assigned

Jul 31, 2023

Reactivated

Sep 21, 2026

Last updated

Sep 21, 2026By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1710668801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 S MAIN ST",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "48017",
            "telephone_number": "248-306-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 S MAIN ST",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "48017",
            "telephone_number": "248-306-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILERA AYALA",
        "first_name": "JUAN",
        "middle_name": "DIEGO",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-31",
        "last_updated": "2026-09-21",
        "certification_date": "2023-07-31",
        "deactivation_date": "2024-03-04",
        "reactivation_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MI",
            "license": "2901603249",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Purvesh G Adhyaru, PT
• Megan Lynn Adriaens
• Advanced Ophthalmology Associates PLC
• Aesthetic Smiles and Implants (Heritage Dental PLC)
• Alexandra Maria Agapiou
• Jennifer Marie Ahlquist, MSN, CNP, ANP-BC
• Alexander Malayev MD PC (United Care Team I)
• Sarah Mariyan Ali, LMSW
• Louise S. Aloe, M.D.
• Farah Alsana

• Prosthodontics in Clawson, MI
• Providers in Clawson, MI by specialty
• Prosthodontics in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.