Organization Active NPI

Chavis Center LLC

  • Plastic and Reconstructive Surgery Physician
  • Indianapolis, IN
National Provider Identifier
1003086158
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
01042615 Issued in IN
Legal business name
CHAVIS CENTER LLC
Practice address
9002 N Meridian St
Suite 104
Indianapolis, IN 46260-5381
Phone
(317) 844-7706
NPI assigned
Mar 5, 2008
Last updated
Mar 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Dion Debro Chavis, MDNPI 1982770285
Title
Owner
Phone
(317) 844-7706

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0105X 01042615 IN
Plastic and Reconstructive Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0122X 01042615 IN Primary

Addresses

Primary practice location

9002 N Meridian St
Suite 104
Indianapolis, IN 46260-5381

Mailing address

9002 N Meridian St
Suite 104
Indianapolis, IN 46260-5381
Phone (317) 844-7706

National Provider Directory

National Provider Directory

Locations

12730 Meeting House Rd
Carmel, IN 46032
Phone (317) 859-1120

9002 N Meridian St
Ste 104
Indianapolis, IN 46260
Phone (317) 844-7706

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1003086158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9002 N MERIDIAN ST",
            "address_2": "SUITE 104",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605381",
            "telephone_number": "317-844-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9002 N MERIDIAN ST",
            "address_2": "SUITE 104",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605381",
            "telephone_number": "317-844-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAVIS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "CHAVIS",
        "authorized_official_first_name": "DION",
        "authorized_official_middle_name": "DEBRO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-844-7706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgery of the Hand",
            "state": "IN",
            "license": "01042615",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IN",
            "license": "01042615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.