Active NPI
Levi Louis Kemper-Chavez, DDS
- General Practice Dentistry
- Clovis, NM
National Provider Identifier
1043912686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DB-2023-0101
- Practice address
- 224 W.D.L. Ingram Ave
Clovis, NM 88103 - Phone
- (575) 784-2778
- NPI assigned
- Mar 20, 2023
- Last updated
- Jul 31, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DB-2023-0101 | NM | MD | General 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.