Diana Camila Avila Paez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DNL100059 Issued in MA

Practice address

115 NE Cutoff Ste 200
Worcester, MA 01606-1224

Phone

(508) 854-2122

NPI assigned

May 14, 2024

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1801645783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 BROOKLINE AVE STE 145",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155410",
            "telephone_number": "312-714-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 NE CUTOFF STE 200",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016061224",
            "telephone_number": "508-854-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA PAEZ",
        "first_name": "DIANA",
        "middle_name": "CAMILA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DNL100059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory M Avedissian, D.C.
• Jennifer J Averill Moffitt, CNM
• Mark A Aversa, MD
• Francisco Avery-Miranda
• Kirsten Nicole Avery
• Amy Kristen Aviles, F.N.P.
• Luis A Aviles, BS
• Patricia G Avis, CRNA
• Angela Lee Avramidis, R.N.
• James Avruch, M.D.

• General Practice Dentistry in Worcester, MA
• Providers in Worcester, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.