Individual provider Active NPI

Michelle A Romero Chavez

  • Dentist
  • Oro Valley, AZ
National Provider Identifier
1306904040
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4149 Issued in AZ
Practice address
180 W Magee Road
#1580
Oro Valley, AZ 85704
Phone
(520) 742-0830
Fax
(502) 742-3001
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4149 AZ Primary

Addresses

Primary practice location

180 W Magee Road
#1580
Oro Valley, AZ 85704

Mailing address

180 W Magee Road
#158
Oro Valley, AZ 85704
Phone (520) 742-0830

Other names 1

  • Michelle Romero Former name

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
4149AZMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pusch Ridge Dental PC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306904040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 W MAGEE ROAD",
            "address_2": "#158",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "85704",
            "telephone_number": "520-742-0830",
            "fax_number": "502-742-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W MAGEE ROAD",
            "address_2": "#1580",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "85704",
            "telephone_number": "520-742-0830",
            "fax_number": "502-742-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO CHAVEZ",
        "first_name": "MICHELLE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "4149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "ROMERO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oro Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.