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DR. JOHN R. AVILA D.D.S.
NPI 1952423840
Dentist - General Practice in La Porte, IN

Active since April 04, 2007PECOS Enrolled
400 TEEGARDEN ST, LA PORTE, IN 46350(219) 326-0043(219) 326-8909 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 8, 2021, Feb 11, 2019, Feb 8, 2016 (3 updates tracked since 2016).

About Dr. John R. Avila D.d.s. NPPES

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

DR. JOHN R. AVILA D.D.S. (NPI 1952423840) is an individual general practice provider in La Porte, Indiana, licensed in Indiana (12009519) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Michigan City.

NPPES Registry Identity

NPI1952423840
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOHN R. AVILACredential: D.D.S.
Location Address400 TEEGARDEN STLa Porte, IN 46350-3175
Mailing Address2344 Cynthia DrMichigan City, IN 46360-9361 · (219) 477-6082 · Fax (219) 879-2915
Phone(219) 326-0043
Fax(219) 326-8909
Sole ProprietorNo
Enumeration DateApril 4, 2007
Last NPPES UpdateMarch 8, 20213 updates tracked since enumeration
NPPES CertifiedMarch 8, 2021
✔ NPI 1952423840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IN · 12009519
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.
400 TEEGARDEN ST, La Porte, IN 46350
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Secondary Practice Location 1

Location 1710 Franklin St Ste 200Michigan City, IN 46360-3564 · Phone (219) 872-6200 · Fax (219) 879-2915

Other Identifiers 1

Medicaid100375060IN

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 Alabama 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. John R. Avila D.d.s. 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 46350 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 9

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

TARA LEE NIMTZ
Nurse Practitioner
400 TEEGARDEN ST
LA PORTE, IN 46350
Laporte County (219) 326-0043
DR. MANOGNA KATAKAM DDS
Dentist
400 TEEGARDEN ST
LA PORTE, IN 46350
Laporte County (219) 718-2708
WENDY RENEE DUTCHER RN
Nurse Practitioner
400 TEEGARDEN ST
LA PORTE, IN 46350
Laporte County (219) 326-0043
DR. DINA MAMDOUH HUSSEIN DMD
Dentist
400 TEEGARDEN ST
LA PORTE, IN 46350
Laporte County (219) 326-8909
INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL INC
Clinic/Center (Community Health)
400 TEEGARDEN ST
LA PORTE, IN 46350
Laporte County (219) 326-0043
DENISE DORIS GRASSER LCSW
Social Worker (Clinical)
400 TEEGARDEN ST
LA PORTE, IN 46350
Laporte County (219) 326-0043
HEALTHLINC, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
400 TEEGARDEN ST
LA PORTE, IN 46350
Laporte County (888) 580-1060
SUSAN K GRACE NP
Nurse Practitioner (Family)
400 TEEGARDEN ST, SUITE B
LA PORTE, IN 46350
Laporte County (219) 326-0043

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 John Avila's NPI number?

The NPI number for John Avila is 1952423840. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Where is John Avila located?

John Avila practices at 400 Teegarden St, La Porte, IN 46350. The listed phone number is (219) 326-0043.

What is John Avila's specialty?

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

Is John Avila enrolled in Medicare?

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

What insurance does John Avila accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list John Avila 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 John Avila was last updated on March 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.