Delwyne Lee Chavis

Primary specialty

DentistTaxonomy code 122300000X

License

11135 Issued in MD

Practice address

5808 York Rd Ste a
Baltimore, MD 21212-3624

Phone

(410) 433-1991

Fax

(410) 433-5455

NPI assigned

Feb 8, 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 MD

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

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1114990322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5808 YORK RD STE A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123624",
            "telephone_number": "410-433-1991",
            "fax_number": "410-433-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5808 YORK RD STE A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123624",
            "telephone_number": "410-433-1991",
            "fax_number": "410-433-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVIS",
        "first_name": "DELWYNE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "11135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raul Chavez Valdez, M.D.
• Alexander Chavez-Yenter, MD
• Christopher Brian Mercene Chavez, CRNP, CCNS
• Samuel David Chavez, MA
• Nicole Chavies, LGPC
• Kelsea Chavis, LCSW-C
• Kenda Kittrell Chavis, PT
• Nyla Chavis
• S Chavis
• Tiffany N. Chavis, LGSW

• Dentist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.