Active NPI
Dennis Chavez, FNP
- Family Nurse Practitioner
- Chandler, AZ
National Provider Identifier
1063912814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP10898
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| AP10898 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Livn, P.C. | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- Chandler, AZ
- NPI 1245759307
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.