Active NPI
Johnny Chavarria, M.D.
- Pediatrics Physician
- Warwick, RI
National Provider Identifier
1316923352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD08929
- Practice address
- 161 Airport Rd
Warwick, RI 02889-1031 - Phone
- (401) 737-4282
- Fax
- (401) 738-6896
- NPI assigned
- Dec 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 8929 | RI | |
| Pediatrics Physician | 208000000X | MD08929 | RI | Primary |
Addresses
Primary practice location
161 Airport Rd
Warwick, RI 02889-1031
Mailing address
161 Airport Rd
Warwick, RI 02889-1031
Phone (401) 737-4282
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204693 | Other | RI | BCBS |
| AA41503 | Other | HARVARD PILGRIM INS | |
| 8929 | Other | RI | STATE LICENSE |
| 204491 | Other | RI | CHCP BLUE CHIP |
| 582062 | Other | AETNA INS | |
| 1201179 | Other | UNITED HEALTH PLAN | |
| 3859 | Other | RI | NEIGHBORHOOD HEALTH PLAN |
| JC32094 | Medicaid | RI |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8929 | RI | MD | Pediatrics Physician |
| MD08929 | RI | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398729600000",
"number": "1316923352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 AIRPORT RD",
"city": "WARWICK",
"state": "RI",
"postal_code": "028891031",
"telephone_number": "401-737-4282",
"fax_number": "401-738-6896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 AIRPORT RD",
"city": "WARWICK",
"state": "RI",
"postal_code": "028891031",
"telephone_number": "401-737-4282",
"fax_number": "401-738-6896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVARRIA",
"first_name": "JOHNNY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-21",
"last_updated": "2014-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "RI",
"license": "8929",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "RI",
"license": "MD08929",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "204693",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM INS",
"identifier": "AA41503",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "8929",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHCP BLUE CHIP",
"identifier": "204491",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA INS",
"identifier": "582062",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH PLAN",
"identifier": "1201179",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "3859",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "JC32094",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.