Ross Oran Chavkin, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

049902 Issued in NY

Practice address

425 Broadhollow Rd
Suite 102
Melville, NY 11747-4713

Phone

(631) 752-1033

NPI assigned

Jun 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Chavkin Oral and Maxillofacial Surgery LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • New Hyde Park, NY
  • NPI 1700420429
  NPD

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413331200000",
    "number": "1093754467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 BROADHOLLOW RD",
            "address_2": "SUITE 102",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474713",
            "telephone_number": "631-752-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 BROADHOLLOW RD",
            "address_2": "SUITE 102",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474713",
            "telephone_number": "631-752-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVKIN",
        "first_name": "ROSS",
        "middle_name": "ORAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2014-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "049902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chase Dental Health PLLC
• Chase Dental Health, PLLC
• Barry N Chase, DDS
• Andrew Magno Chaves
• Amanda Chavez
• Chenen Hsieh MD PC
• Russell James Chertok, LCSW
• Carla Ann Chiappetta, MS
• Gregory Uzodinma Chibuko
• Kelly Chin, D.O.

• Oral and Maxillofacial Surgery (Dentist) in Melville, NY
• Providers in Melville, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.