Organization Active NPI

Indian Hills Dental, Avila Dental Corporation

  • Dental Clinic/Center
  • Riverside, CA
National Provider Identifier
1720577570
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
49460 Issued in CA
Legal business name
INDIAN HILLS DENTAL, AVILA DENTAL CORPORATION
Practice address
8300 Limonite Ave Ste C
Riverside, CA 92509-5174
Phone
(951) 361-0443
NPI assigned
May 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Authorized official

Name
Angela Annette Avila, DDSNPI 1063432367
Title
Dentist
Phone
(951) 361-0443

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
Dental Clinic/Center 261QD0000X 49460 CA Primary

Addresses

Primary practice location

8300 Limonite Ave Ste C
Riverside, CA 92509-5174

Mailing address

8300 Limonite Ave Ste C
Riverside, CA 92509-5174
Phone (951) 361-0443

Other names 1

  • Indian Hills Dental Former legal business name

National Provider Directory

National Provider Directory

Locations

8300 Limonite Ave
Ste C
Riverside, CA 92509
Phone (951) 361-0443

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": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1720577570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 LIMONITE AVE STE C",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925095174",
            "telephone_number": "951-361-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 LIMONITE AVE STE C",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925095174",
            "telephone_number": "951-361-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN HILLS DENTAL, AVILA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "951-361-0443",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "49460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indian Hills Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Indian Hills Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.