Carol Chavez, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS105172 Issued in CA

Practice address

24218 Valencia Blvd
Valencia, CA 91355-5391

Phone

(661) 288-0288

NPI assigned

Aug 24, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Elie Professional Dental Corporation

  • General Practice Dentistry
  • Valencia, CA
  • NPI 1215022165
  NPD (past)
• Soleiman Professional Dental Corporation

  • Periodontics
  • Valencia, CA
  • NPI 1437364288
  NPD (past)

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1306458005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23252 HAPPY VALLEY DR",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212661",
            "telephone_number": "661-259-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24218 VALENCIA BLVD",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555391",
            "telephone_number": "661-288-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS105172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Chapleau
• Audrey Chapman
• Catherine Elizabeth Chapman
• George A Charnock, M.D.
• Marisa Chata
• Irma Chavez
• Jaymie Chavez
• Lizlybel Chavez, BCBA
• Osiris Chavez
• Virginia Chavez, LPCC

• General Practice Dentistry in Valencia, CA
• Providers in Valencia, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.