Individual provider Active NPI

Dennis Chavez, FNP

  • Family Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1063912814
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10898 Issued in AZ
Practice address
261 N Roosevelt Ave
Chandler, AZ 85226-2616
Phone
(480) 305-2888
Fax
(480) 305-2889
NPI assigned
Feb 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP10898 AZ Primary

Addresses

Primary practice location

261 N Roosevelt Ave
Chandler, AZ 85226-2616

Mailing address

39640 N Kennedy Dr
San Tan Valley, AZ 85140-8850
Phone (505) 550-4601

Other practice location 1

14780 W Mountain View Blvd Ste 109
Surprise, AZ 85374-7280
Phone (623) 374-7444

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP10898AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Livn, P.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dennis.chavez.1@15849.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1063912814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39640 N KENNEDY DR",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851408850",
            "telephone_number": "505-550-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 N ROOSEVELT AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262616",
            "telephone_number": "480-305-2888",
            "fax_number": "480-305-2889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14780 W Mountain View Blvd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853747280",
            "country_code": "US",
            "telephone_number": "623-374-7444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "DENNIS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-19",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.