Esteban Chaidez Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7378 Issued in NV

Practice address

12 S 8TH St
Yakima, WA 98901-3020

Phone

(509) 454-4143

NPI assigned

Jun 26, 2020

Sex

Male

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 WA

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

Practice roles

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

• Lakes Park Dental

  • Dentist
  • Las Vegas, NV
  • NPI 1225183809
  NPD (past)
• Radiant Smiles Series 2 LLC

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1104132281
  NPD (past)
• Radiant Smiles Series 3 LLC

  • General Practice Dentistry
  • Henderson, NV
  • NPI 1548575996
  NPD (past)

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1295352102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2605",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989072605",
            "telephone_number": "509-454-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 S 8TH ST",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989013020",
            "telephone_number": "509-454-4143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2633 W Horizon Ridge Pkwy Ste 130",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890524833",
            "country_code": "US",
            "telephone_number": "702-897-7001",
            "fax_number": "702-897-7201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8961 W Sahara Ave Ste 108",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891175831",
            "country_code": "US",
            "telephone_number": "702-360-4800",
            "fax_number": "702-360-2846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7469 W Lake Mead Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891281056",
            "country_code": "US",
            "telephone_number": "702-289-4424",
            "fax_number": "702-312-7779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1825 S Nellis Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891046215",
            "country_code": "US",
            "telephone_number": "702-452-3552",
            "fax_number": "702-452-0088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAIDEZ",
        "first_name": "ESTEBAN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-26",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "7378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Washington Sleep Disorders Clinic PC
• Ayannah Cervantes
• Jennifer Cervantes
• Rosa Cervantes
• Melany Bridget Cesena
• Lana Chalak, RPH.
• Tara Marie Chamberlain-Bloom, CG70025799
• Peggy Champoux
• Ka U Chan, ARNP
• Lori Ann Chandler-Pieters, LPN

• General Practice Dentistry in Yakima, WA
• Providers in Yakima, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.