DR. ROBERT JOSEPH AVILA D.C., CCST, CCCN
NPI 1245248400
Chiropractor in Pueblo, CO

Active since August 04, 2006
3960 IVYWOOD LN, PUEBLO, CO 81005(719) 565-1276(719) 565-2313 Get Directions Write a Review

NPPES record last updated: March 17, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2020, Mar 14, 2017 (2 updates tracked since 2017).

About Dr. Robert Joseph Avila D.c., Ccst, Cccn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROBERT JOSEPH AVILA D.C., CCST, CCCN (NPI 1245248400) is an individual chiropractor in Pueblo, Colorado, licensed in Colorado (4867) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1245248400
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. ROBERT JOSEPH AVILACredential: D.C., CCST, CCCN
Location Address3960 IVYWOOD LNPueblo, CO 81005-2567
Mailing Address3960 Ivywood LnPueblo, CO 81005-2567 · (719) 565-1276 · Fax (719) 565-2313
Fax(719) 565-2313
Sole ProprietorYes
Enumeration DateAugust 4, 2006
Last NPPES UpdateMarch 17, 20202 updates tracked since enumeration
NPPES CertifiedMarch 17, 2020
✔ NPI 1245248400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CO · 4867
Definition
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.
Also ListedBehavior AnalystTaxonomy 103K00000X
Also ListedChiropractor · NeurologyTaxonomy 111NN0400X · License 4867 (CO)
Also ListedChiropractor · NutritionTaxonomy 111NN1001X · License 4867 (CO)
Also ListedChiropractor · Pediatric ChiropractorTaxonomy 111NP0017X · License 4867 (CO)
Also ListedChiropractor · RadiologyTaxonomy 111NR0200X · License 4867 (CO)
Also ListedChiropractor · RehabilitationTaxonomy 111NR0400X · License 4867 (CO)
Also ListedChiropractor · Sports PhysicianTaxonomy 111NS0005X · License 4867 (CO)
Also ListedChiropractor · Occupational HealthTaxonomy 111NX0100X · License 4867 (CO)
Also ListedChiropractor · OrthopedicTaxonomy 111NX0800X · License 4867 (CO)
3960 IVYWOOD LN, Pueblo, CO 81005

Other Identifiers 8

Other1245248400CO · Npi Dr Avila
OtherCOA106966Group Ptan
OtherCOA107185CO · Medicare Ptan Dr. Wilson
Other1295797413CO · Npi Dr Wilson
OtherCOA106967CO · Medicare Ptan Dr Avila
Other4867CO · Colorado License Upin
Other1821363557CO · Group Npi
Other841603517CO · Tax I.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Robert Joseph Avila D.c., Ccst, Cccn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Robert Avila reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pain Medicine
3960 IVYWOOD LN
Pueblo, CO 81005
  • Reassigned Medicare billing, Colorado enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
3960 IVYWOOD LN
PUEBLO, CO 81005
Behavior Analyst
3960 IVYWOOD LN
PUEBLO, CO 81005
Speech-Language Pathologist
3960 IVYWOOD LN
PUEBLO, CO 81005
Behavior Analyst
3960 IVYWOOD LN
PUEBLO, CO 81005
Behavior Technician
3960 IVYWOOD LN
PUEBLO, CO 81005
Behavior Technician
3960 IVYWOOD LN
PUEBLO, CO 81005
Community/Behavioral Health
3960 IVYWOOD LN
PUEBLO, CO 81005
Speech-Language Pathologist
3960 IVYWOOD LN
PUEBLO, CO 81005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Avila's NPI number?

The NPI number for Robert Avila is 1245248400. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Robert Avila located?

Robert Avila practices at 3960 Ivywood Ln, Pueblo, CO 81005. The listed phone number is (719) 565-1276.

What is Robert Avila's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Robert Avila enrolled in Medicare?

Yes. Robert Avila is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Robert Avila's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Avila reassigns Medicare benefits to Avila Integrative Medicine, Inc. (Pueblo, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robert Avila's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Robert Avila was last updated on March 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.