DR. ROBERT JOSEPH AVILA D.C. CCST CCCN NPI 1245248400

NPI Information

NPI: 1245248400
Provider Name: DR. ROBERT JOSEPH AVILA, D.C., CCST, CCCN
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
3960 IVYWOOD LN
PUEBLO, CO
ZIP 81005
Phone: (719) 565-1276
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DR. Robert Joseph Avila, D.C., CCST, CCCN is a chiropractor in Pueblo, CO. The provider is 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. DR. Robert Joseph Avila, D.C., CCST, CCCN NPI is 1245248400. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3960 IVYWOOD LN
PUEBLO, CO
ZIP 81005-567
Phone: (719) 565-1276
Fax: (719) 565-2313

The enumeration date for this NPI number is 8/4/2006 and was last updated on 3/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103K00000X	Behavior Analyst				No
2	111NN0400X	Chiropractor	Neurology	4867	COLORADO	No
3	111NN1001X	Chiropractor	Nutrition	4867	COLORADO	No
4	111NP0017X	Chiropractor	Pediatric Chiropractor	4867	COLORADO	No
5	111NR0200X	Chiropractor	Radiology	4867	COLORADO	No
6	111NS0005X	Chiropractor	Sports Physician	4867	COLORADO	No
7	111NX0100X	Chiropractor	Occupational Health	4867	COLORADO	No
8	111NX0800X	Chiropractor	Orthopedic	4867	COLORADO	No
9	111NR0400X	Chiropractor	Rehabilitation	4867	COLORADO	No
10	111N00000X	Chiropractor		4867	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1245248400	OTHER	COLORADO	NPI DR AVILA
2	COA106966	OTHER		GROUP PTAN
3	COA107185	OTHER	COLORADO	MEDICARE PTAN DR. WILSON
4	1295797413	OTHER	COLORADO	NPI DR WILSON
5	COA106967	OTHER	COLORADO	MEDICARE PTAN DR AVILA
6	4867	OTHER	COLORADO	COLORADO LICENSE UPIN
7	1821363557	OTHER	COLORADO	GROUP NPI
8	841603517	OTHER	COLORADO	TAX I.D.

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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