Briarcliff Oral & Maxillofacial Surgery PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

046692 Issued in NY

Legal business name

BRIARCLIFF ORAL & MAXILLOFACIAL SURGERY PLLC

Practice address

325 S Highland Ave
Briarcliff Manor, NY 10510-2096

Phone

(914) 236-3136

Fax

(914) 236-3137

NPI assigned

Oct 22, 2014

Last updated

Oct 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Karen Avila, DDS MDNPI 1104969575

Title

Owner/Oral Surgeon

Phone

(914) 236-3136

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karen Francisco Avila, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Briarcliff Manor, NY
  • NPI 1104969575
  Authorized official Same address or phone

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1881099620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S HIGHLAND AVE",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105102096",
            "telephone_number": "914-236-3136",
            "fax_number": "914-236-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S HIGHLAND AVE",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105102096",
            "telephone_number": "914-236-3136",
            "fax_number": "914-236-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIARCLIFF ORAL & MAXILLOFACIAL SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER/ORAL SURGEON",
        "authorized_official_telephone_number": "914-236-3136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "046692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02162696",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regina Lynne Bremer, M.S.
• Briarcliff Family Footcare LLC
• Briarcliff Family Podiatry, PLLC
• Briarcliff Institute for Recovery & Development
• Briarcliff Manor Dental Service PC
• Ajanna Brockenbaugh, MHC
• David M Brody, M.D.
• Deanna Carey, SCHOOL PSYCHOLOGIST
• Monica Carreira
• Jennifer Castro, D.D.S.

• Oral and Maxillofacial Surgery (Dentist) in Briarcliff Manor, NY
• Providers in Briarcliff Manor, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.