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DR. ERIC PHILIP MEDIAVILLA DDS
NPI 1518004274
Dentist - General Practice in Colorado Springs, CO

Active since January 31, 2007
513 KIVA RD, COLORADO SPRINGS, CO 80911(303) 588-5349 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Eric Philip Mediavilla Dds NPPES

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

DR. ERIC PHILIP MEDIAVILLA DDS (NPI 1518004274) is an individual general practice provider in Colorado Springs, Colorado, licensed in Colorado (8322) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1518004274
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ERIC PHILIP MEDIAVILLACredential: DDS
Location Address513 KIVA RDColorado Springs, CO 80911-1913
Mailing Address10036 Palisade Ridge DrColorado Springs, CO 80920-1491 · (303) 588-5349
Phone(303) 588-5349
Sole ProprietorNo
Enumeration DateJanuary 31, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1518004274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CO · 8322
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
513 KIVA RD, Colorado Springs, CO 80911
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Other Identifiers 1

Medicaid79233562CO

Other Providers at the Same Location NPPES 6

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

MR. RAYMOND DAVID BAROS D.D.S.
Dentist (General Practice)
513 KIVA RD
COLORADO SPRINGS, CO 80911
El Paso County (719) 392-5300
CHERISH LEANN LAWS RDH
Dental Hygienist
513 KIVA RD
COLORADO SPRINGS, CO 80911
El Paso County (719) 392-5300
PAMELA ZIMMERMAN RDH
Dental Hygienist
513 KIVA RD
COLORADO SPRINGS, CO 80911
El Paso County (719) 392-5300
DR. COLLEEN REMIEN HARRIS D.M.D.
Dentist (General Practice)
513 KIVA RD
COLORADO SPRINGS, CO 80911
El Paso County (719) 392-5300
MRS. BAILEY MARIE PERRICONE R.D.H.
Dental Hygienist
513 KIVA RD
COLORADO SPRINGS, CO 80911
El Paso County (719) 392-5300
MR. RYAN DAVID BAROS D.D.S.
Dentist (General Practice)
513 KIVA RD
COLORADO SPRINGS, CO 80911
El Paso County (719) 392-5300

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 Eric Mediavilla's NPI number?

The NPI number for Eric Mediavilla is 1518004274. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Eric Mediavilla located?

Eric Mediavilla practices at 513 Kiva Rd, Colorado Springs, CO 80911. The listed phone number is (303) 588-5349.

What is Eric Mediavilla's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Eric Mediavilla was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.