Individual provider Active NPI

Jairo Chavez, D.D.S

  • Dentist
  • Spring Branch, TX
National Provider Identifier
1265553036
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D21199 Issued in TX
Practice address
20475 State Highway 46 West Ste 310
Spring Branch, TX 78070
Phone
(830) 438-7444
Fax
(830) 438-7112
NPI assigned
Apr 2, 2007
Last updated
Dec 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D21199 TX Primary

Addresses

Primary practice location

20475 State Highway 46 West Ste 310
Spring Branch, TX 78070

Mailing address

20475 State Highway 46 West Ste 310
Spring Branch, TX 78070
Phone (830) 438-7444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D21199TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Smile Artists, P.C. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1265553036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20475 STATE HIGHWAY 46 WEST STE 310",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "78070",
            "telephone_number": "830-438-7444",
            "fax_number": "830-438-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20475 STATE HIGHWAY 46 WEST STE 310",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "78070",
            "telephone_number": "830-438-7444",
            "fax_number": "830-438-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "JAIRO",
        "name_prefix": "Mr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "D21199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Branch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.