Individual provider Active NPI

Vladimir Amos Avril, D.D.S.

  • General Practice Dentistry
  • Brandon, FL
National Provider Identifier
1851774756
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 21428 Issued in FL
Practice address
3413 S Kings Ave Ste 200
Brandon, FL 33511-7780
Phone
(813) 643-9029
NPI assigned
Jul 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN 21428 FL Primary

Addresses

Primary practice location

3413 S Kings Ave Ste 200
Brandon, FL 33511-7780

Mailing address

1211 E Kennedy Blvd Unit 538
Tampa, FL 33602-3783
Phone (305) 206-3718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160202001674 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1850695479

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 21428FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Vladimir a. Avril, PLLC Current Accepting new patients

Locations

3413 S Kings Ave
Ste 200
Brandon, FL 33511
Phone (813) 321-0084

Networks

  • Freedom Health HMO Network

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": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1851774756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 E KENNEDY BLVD UNIT 538",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023783",
            "telephone_number": "305-206-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3413 S KINGS AVE STE 200",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117780",
            "telephone_number": "813-643-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVRIL",
        "first_name": "VLADIMIR",
        "middle_name": "AMOS",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-09",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 21428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.