Ibis Chaviano, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 21578 Issued in FL

Practice address

4201 Palm Ave
Suite DD
Hialeah, FL 33012-4424

Phone

(305) 456-6474

NPI assigned

Apr 18, 2013

Last updated

Feb 3, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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 FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1114361334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3906 SW 4TH ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 PALM AVE",
            "address_2": "SUITE DD",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124424",
            "telephone_number": "305-456-6474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVIANO",
        "first_name": "IBIS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-18",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 21578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Masiel Chaviano Huerta
• Miguel Alejandro Chaviano Perez
• Lianny Chaviano Quintero
• Acralys Chaviano
• Cristina Chaviano, P.A.
• Luis Alain Chaviano
• Osmeris Chaviano, BS
• Tayra Chaviano
• Rosanna Chea
• Chen Medical Miami Lakes Inc

• General Practice Dentistry in Hialeah, FL
• Providers in Hialeah, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.