NPIMap

Organization Active NPI

Luz a Chavez DDS II PC

  • Dentist
  • Charlotte, NC
National Provider Identifier
1184197063
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LUZ A CHAVEZ DDS II PC
Doing business as
Arrowood Dental
Practice address
816 E Arrowood Rd Ste C
Charlotte, NC 28217-5818
Phone
(704) 552-8332
Fax
(704) 503-9050
NPI assigned
Jan 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Authorized official

Name
Salvador Maldonado
Title
Regional Office Mananger
Phone
(631) 553-3356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

816 E Arrowood Rd Ste C
Charlotte, NC 28217-5818

Mailing address

816 E Arrowood Rd Ste C
Charlotte, NC 28217-5818
Phone (704) 552-8332

Other identifiers 1

IdentifierTypeStateIssuer
5921743MedicaidNC

Other names 1

  • Arrowood Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1184197063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 E ARROWOOD RD STE C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282175818",
            "telephone_number": "704-552-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 E ARROWOOD RD STE C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282175818",
            "telephone_number": "704-552-8332",
            "fax_number": "704-503-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUZ A CHAVEZ DDS II PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-03",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "SALVADOR",
        "authorized_official_title_or_position": "REGIONAL OFFICE MANANGER",
        "authorized_official_telephone_number": "631-553-3356"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5921743",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arrowood Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arrowood Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.