AVISINA CLINIC – NPI #1801661012
Clinic/Center

AVISINA CLINIC is an AHC clinic located in SOUTH BERWICK, ME. NPPES has assigned the NPI number 1801661012 to AVISINA CLINIC on November 17, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AVISINA CLINIC” is a dba name, the actual legal business name for this organization is AVISINA, LLC. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 2 years ago on May 18, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AVISINA CLINIC below.

NPI Profile for
AVISINA, LLC

NPI Number
1801661012
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AVISINA, LLC
Doing Business As (dba): AVISINA CLINIC
Primary location
48 HIGHLAND AVE
SOUTH BERWICK, ME 03908
Phone: (512) 203-2768 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KAMYAR YAZDI
OWNER
Phone: (512) 203-2768
Updated
Certification Date
May 18, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.