DR. ROBERT JOSEPH AVILA (NPI# 1245248400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245248400 |
| Entity Type | Individual |
| Full Name | DR. ROBERT JOSEPH AVILA |
| Credential | D.C., CCST, CCCN |
| Practice Address |
3960 Ivywood Ln Pueblo CO 81005-2567 |
| Practice Telephone | 7195651276 |
| Practice Fax Number | 7195652313 |
| Mailing Telephone | 7195651276 |
| Mailing Fax Number | 7195652313 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4867 | CO | Chiropractic Providers |
| N | 111NN0400X |
Chiropractor Specialization: Neurology |
4867 | CO | Chiropractic Providers |
| N | 111NN1001X |
Chiropractor Specialization: Nutrition |
4867 | CO | Chiropractic Providers |
| N | 111NR0200X |
Chiropractor Specialization: Radiology |
4867 | CO | Chiropractic Providers |
| N | 111NS0005X |
Chiropractor Specialization: Sports Physician |
4867 | CO | Chiropractic Providers |
| N | 111NX0100X |
Chiropractor Specialization: Occupational Health |
4867 | CO | Chiropractic Providers |
| N | 111NX0800X |
Chiropractor Specialization: Orthopedic |
4867 | CO | Chiropractic Providers |
| N | 111NP0017X |
Chiropractor Specialization: Pediatric Chiropractor |
4867 | CO | Chiropractic Providers |
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
4867 | CO | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | NPI DR AVILA | 1245248400 | 01 |
| GROUP PTAN | COA106966 | 01 | |
| CO | MEDICARE PTAN DR. WILSON | COA107185 | 01 |
| CO | NPI DR WILSON | 1295797413 | 01 |
| CO | MEDICARE PTAN DR AVILA | COA106967 | 01 |
| CO | COLORADO LICENSE UPIN | 4867 | 01 |
| CO | GROUP NPI | 1821363557 | 01 |
| CO | TAX I.D. | 841603517 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235505066 | Robert Carlos Avila Jr. | Specialist/Technologist | 5265 Ward St Se, Smyrna, GA 30080-1944 | 2015-08-16 |
| 1881679967 | Robert A Avila | Physical Therapist | 19000 Hawthorne Blvd, # 300, Torrance, CA 90503-1517 | 2005-12-12 |
| Street Address |
3960 IVYWOOD LN |
| City | PUEBLO |
| State | CO |
| Zip Code | 81005-2567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801359203 | Carrie Raye Gravatt | Speech-Language Pathologist | 3960 Ivywood Ln, Pueblo, CO 81005-2567 | 2019-04-11 |
| 1013381698 | Kamala Ries | Speech-Language Pathologist | 3960 Ivywood Ln, Pueblo, CO 81005-2567 | 2015-11-19 |
| 1144620063 | Andrea Pineda | Speech-Language Pathologist | 3960 Ivywood Ln, Pueblo, CO 81005-2567 | 2014-08-27 |
| 1891125217 | Aim Diagnostics LLC | Clinic/Center | 3960 Ivywood Ln, Pueblo, CO 81005-2567 | 2013-11-21 |
| 1821363557 | Avila Integrative Medicine, Inc. | Physical Therapist | 3960 Ivywood Ln, Pueblo, CO 81005-2567 | 2012-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225595630 | Kimberly Warfield | Specialist | 5825 W Hwy 78, Pueblo, CA 81005 | 2019-02-22 |
| 1417461823 | Yah Vision | Optometrist | 2568 Taylor Ln, Pueblo, CO 81005 | 2017-11-21 |
| 1245758168 | Jenny C Alas | Dentist | 2603 Vinewood Lane, Pueblo, CO 81005 | 2017-08-30 |
| 1801342472 | Cynthia Watson | Counselor | 2429 S. Prairie Avenue, Pueblo, CO 81005 | 2016-09-01 |
| 1598033664 | Kyle Andrew Bonds | Pharmacist | 2900 W. Northern Ave., Pueblo, CO 81005 | 2011-12-05 |
| 1346406196 | Samantha Coleman | Counselor | 2429 S Prairie Ave, Pueblo, CO 81005 | 2008-07-31 |
| 1184890915 | Hg Stringert Dds, Ms, PC | Dentist | 3955 Sandlewood Lane, Pueblo, CO 81005 | 2008-05-01 |
| 1992902423 | David Russell Baer | Dentist | 2041 Pepper Lane, Ste A, Pueblo, CO 81005 | 2007-06-28 |
| 1659443695 | Thomas Wesley Ready | Dentist | 643 So Pueblo Blvd, Pueblo, CO 81005 | 2006-11-14 |
| 1700969029 | Bradley Michael Almond | Dentist | 1221 S Pueblo Blvd, Pueblo, CO 81005 | 2006-10-23 |
| Find all providers in zip 81005 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891154787 | Hill Chiropractic, Inc. | Chiropractor | 1014 Eagleridge Blvd, Unit B, Pueblo, CO 81008-2165 | 2016-02-19 |
| 1760728117 | Bellah Chiropractic Center, P.C. | Chiropractor | 824 W Abriendo Ave, Pueblo, CO 81004-1547 | 2012-12-12 |
| 1629326905 | Derek Wade Stickler | Chiropractor | 2447 S Prairie Ave, Pueblo, CO 81005-2886 | 2012-08-17 |
| 1679840029 | Donald G Dressen D C P C | Chiropractor | 725 Desert Flower Blvd Ste B, Pueblo, CO 81001-1268 | 2011-11-29 |
| 1033400510 | Theodore W Davis | Chiropractor | 2505 Kachina Dr, Pueblo, CO 81008-1573 | 2011-05-02 |
| 1255667440 | Jeffrey Paul Johnson | Chiropractor | 4112 Outlook Blvd 255, Pueblo, CO 81008-1667 | 2009-10-23 |
| 1114160330 | Charlotte Winnette Fleming | Chiropractor | 255 W. Abriendo Ave., Pueblo, CO 81004-1870 | 2009-04-17 |
| 1386869659 | Catherine L Brunetto | Chiropractor | 540 E Abriendo Ave Ste F, Pueblo, CO 81004-2388 | 2007-04-13 |
| 1699897603 | Gregg Loren Riggert | Chiropractor | 24 Club Manor Dr Ste 108, Pueblo, CO 81008-1699 | 2007-04-03 |
| 1215061908 | A and A Chiropractic Center LLC | Chiropractor | 635 W Corona Ave, Suite 103, Pueblo, CO 81004-1242 | 2007-03-15 |
| Find all providers in PUEBLO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.