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DR. AVI WILLIS DMD, MAST
NPI 1942681069
Dentist - Pediatric Dentistry in Encinitas, CA

Active since June 15, 2015PECOS Enrolled
135 SAXONY RD, ENCINITAS, CA 92024(760) 634-5437 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 9, 2021, Jul 2, 2019, Mar 1, 2016 and 1 more (4 updates tracked since 2016).

About Dr. Avi Willis Dmd, Mast NPPES

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

DR. AVI WILLIS DMD, MAST (NPI 1942681069) is an individual pediatric dentistry provider in Encinitas, California, licensed in California (DDS102334) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942681069
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. AVI WILLISCredential: DMD, MAST
Location Address135 SAXONY RDEncinitas, CA 92024-3791
Mailing Address6155 Radcliffe DrSan Diego, CA 92122-3311 · (570) 332-0689
Phone(760) 634-5437
Sole ProprietorNo
Enumeration DateJune 15, 2015
Last NPPES UpdateNovember 9, 20214 updates tracked since enumeration
NPPES CertifiedNovember 9, 2021
✔ NPI 1942681069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in CA · DDS102334✔ Licensed in PA · DS040383✔ Licensed in NJ · 22DI02765200
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

135 SAXONY RD, Encinitas, CA 92024
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Avi Willis Dmd, Mast is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

ALEXA DANIELLE WILLIAMSON
Dentist (General Practice)
135 SAXONY RD
ENCINITAS, CA 92024
San Diego County (310) 825-9789

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 Avi Willis's NPI number?

The NPI number for Avi Willis is 1942681069. It was assigned to this individual provider in the NPPES registry on June 15, 2015.

Where is Avi Willis located?

Avi Willis practices at 135 Saxony Rd, Encinitas, CA 92024. The listed phone number is (760) 634-5437.

What is Avi Willis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Avi Willis enrolled in Medicare?

Yes. Avi Willis is registered in the Medicare PECOS enrollment system.

What insurance does Avi Willis accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Avi Willis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Avi Willis was last updated on November 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.