Individual provider Active NPI

Levi Louis Kemper-Chavez, DDS

  • General Practice Dentistry
  • Clovis, NM
National Provider Identifier
1043912686
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DB-2023-0101 Issued in NM
Practice address
224 W.D.L. Ingram Ave
Clovis, NM 88103
Phone
(575) 784-2778
NPI assigned
Mar 20, 2023
Last updated
Jul 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DB-2023-0101 NM Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

224 W.D.L. Ingram Ave
Clovis, NM 88103

Mailing address

2819 Tramway Cir NE
Albuquerque, NM 87122-2240
Phone (505) 967-5117

Other practice location 1

2109 Cuming St
Omaha, NE 68102-4325
Phone (402) 280-5990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DB-2023-0101NMMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1043912686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 TRAMWAY CIR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871222240",
            "telephone_number": "505-967-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 W.D.L. INGRAM AVE",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "88103",
            "telephone_number": "575-784-2778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2109 Cuming St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681024325",
            "country_code": "US",
            "telephone_number": "402-280-5990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEMPER-CHAVEZ",
        "first_name": "LEVI",
        "middle_name": "LOUIS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-20",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DB-2023-0101",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.