Individual provider Active NPI

Eleine Laffita Aguilera

  • Dentist
  • Philadelphia, PA
National Provider Identifier
1811508922
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN25375 Issued in FL
Practice address
4040 Spruce St Apt 5
Philadelphia, PA 19104-4130
Phone
(832) 296-4098
NPI assigned
Aug 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN25375 FL Primary

Addresses

Primary practice location

4040 Spruce St Apt 5
Philadelphia, PA 19104-4130

Mailing address

4040 Spruce St Apt 5
Philadelphia, PA 19104-4130

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL computer

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

LicenseStateTypeSpecialty
DN25375FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ela Dental Studio, P.a. CurrentSince Dec 1, 2023 Accepting new patients

Locations

2525 SW 8th St
Miami, FL 33135
Phone (786) 245-6181

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.

NPI Registry JSON

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1811508922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 SPRUCE ST APT 5",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 SPRUCE ST APT 5",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044130",
            "telephone_number": "832-296-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFFITA AGUILERA",
        "first_name": "ELEINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN25375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "computer",
            "affiliation": "N",
            "address_1": "4040 Spruce St Apt 5",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191044130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.