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Dr. Avi Willis , DMD, MAST

Dentist - Pediatric Dentistry โ€ข Encinitas, CA

Active NPI 1942681069 Individual Practitioner Male Practitioner
Practice location in NPPES

135 Saxony Rd
Encinitas, CA 920243791

Call 7606345437 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

135 Saxony Rd

Encinitas, CA 920243791

Telephone 7606345437

What Public CMS Data Show

Dentist - Pediatric Dentistry: NPPES taxonomy is a reported classification, not proof of board certification.

Open Payments general payments, program year 2025

All general payments: $124.08 across 2 records.

By nature of payment

  • Education: $100.00 across 1 record.
  • Food and Beverage: $24.08 across 1 record.

Reporting-company totals

  • Straumann USA LLC: $100.00 across 1 record.
  • Solventum Corporation: $24.08 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Willis has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Willis as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Encinitas and California

7 active clinicians are listed under Dentist - Pediatric Dentistry with a practice address in Encinitas, CA (1,355 in California).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $124.08.

Manufacturer Payment Nature Product Type Amount ($)
Straumann USA LLC
Education
In-kind items and services
โ€” General $100.00
Solventum Corporation
Food and Beverage
Cash or cash equivalent
3M Clinpro General $24.08

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-11-09
Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

License # reported to NPPES CA DDS102334

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.

Dentist - Pediatric Dentistry

NUCC Taxonomy Code: 1223P0221X

License # reported to NPPES PA DS040383

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.

Dentist - Pediatric Dentistry

NUCC Taxonomy Code: 1223P0221X

License # reported to NPPES NJ 22DI02765200

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - DENTIST

Medicare Enrollment ID

I20170510001782

Enrollment State Jurisdiction

PA

PECOS Control ID

4587941059

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
๐Ÿ“
Updated Practice Location November 09, 2021

Registered at 135 SAXONY RD, ENCINITAS, CA 920243791 (Tel: 7606345437)

๐Ÿ“
Updated Business Mailing Address November 09, 2021

Registered at 6155 RADCLIFFE DR, SAN DIEGO, CA 921223311 (Tel: 5703320689)

๐Ÿ“
Updated Practice Location July 02, 2019

Registered at 870 RIVER AVE, LAKEWOOD, NJ 087015280 (Tel: 7323703700)

๐Ÿ“
Updated Business Mailing Address July 02, 2019

Registered at 870 RIVER AVE, LAKEWOOD, NJ 087015280 (Tel: 5703320689)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2019

Dentist (license number reported to NPPES: PA DS040383)

โœ…
NPI Profile Active March 01, 2016

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) March 01, 2016

Registered at 1400 PELHAM PKWY S, BUILDING 1, ROOM 3NE-1, BRONX, NY 104611138 (Tel: 5703438885)

๐Ÿ“
Business Mailing Address (Initial Record) March 01, 2016

Registered at 1400 PELHAM PKWY S, BUILDING 1, ROOM 3NE-1, BRONX, NY 104611138 (Tel: 5703438885)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) March 01, 2016

Recorded as AVI WILLIS, DMD, MAST

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2016

Dentist (license number reported to NPPES: PA DS040383)

๐ŸŸข
Initial NPI Registration & Enumeration June 15, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1942681069
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2015
Last Update: November 09, 2021
Sole Proprietor: No

Mailing Address

6155 Radcliffe Dr

San Diego, CA 921223311

Phone: 5703320689

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.