Luz a Chavez DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

8880 Issued in NC

Legal business name

LUZ A CHAVEZ DDS PC

Practice address

1307 E Franklin St # Tsuitec
Monroe, NC 28112-5196

Phone

(704) 776-4278

Fax

(704) 776-4279

NPI assigned

Sep 22, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Salvador R Maldonado II, SM

Title

Office Mananger

Phone

(704) 776-4278

Specialties & licenses 1

Addresses

Other names 1

• all family dentistry pc Doing business as

Tax ID family

All Family Dentistry PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Luz a Chavez DDS PC

  • Dentist
  • Matthews, NC
  • NPI 1467890301
  NPD tax ID
• Luz a Chavez DDS PC

  • Dentist
  • Charlotte, NC
  • NPI 1639610009
  NPD tax ID

Locations

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1114235264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 E FRANKLIN ST # TSUITEC",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125196",
            "telephone_number": "704-776-4278",
            "fax_number": "704-776-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 E FRANKLIN ST # TSUITEC",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125196",
            "telephone_number": "704-776-4278",
            "fax_number": "704-776-4279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUZ A CHAVEZ DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "SALVADOR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANANGER",
        "authorized_official_telephone_number": "704-776-4278",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "SM"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "8880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "all family dentistry pc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debra Lucey-Maynard, LCSW, MSW
• Maxwell Luciano
• Cortney M. Luegers
• Angelica Lugo
• Teresa Luisa, LPN
• Kelley Suzanne Lybrand, D.D.S.
• M&M Serenity Adult Day Care
• Chelsea Perrine Mabey, MS, CCC-SLP
• Ivan Mac, MD
• Teresa King Mace, MA CCC-SLP

• Dentist in Monroe, NC
• Providers in Monroe, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.