Individual provider Active NPI

Venice A Aviso, DDS

  • Dentist
  • Langhorne, PA
National Provider Identifier
1942239116
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS036167 Issued in PA
Practice address
66 Oakwynne Ter
Langhorne, PA 19047-8525
Phone
(215) 279-2850
NPI assigned
Jul 1, 2006
Last updated
Dec 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS036167 PA Primary

Addresses

Primary practice location

66 Oakwynne Ter
Langhorne, PA 19047-8525

Mailing address

66 Oakwynne Ter
Langhorne, PA 19047-8525
Phone (215) 279-2850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160121001218 PA Order and Referring Only - DentistPractitioner - Dentist 3173826344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Today Dental, LLC Dentist Past Accepting new patients
Mirach LLC PastSince Dec 31, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1942239116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 OAKWYNNE TER",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190478525",
            "telephone_number": "215-279-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 OAKWYNNE TER",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190478525",
            "telephone_number": "215-279-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVISO",
        "first_name": "VENICE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS036167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.