Brad a. Chvatal, DMD, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BRAD A. CHVATAL, DMD, PC

Practice address

1400 Valley River Dr Ste 240
Eugene, OR 97401-6759

Phone

(541) 683-8490

Fax

(541) 302-5750

NPI assigned

Apr 18, 2023

Organization subpart

No

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

Authorized official

Name

Jenny Garcia-Rocha

Title

Credentialing Lead

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Chvatal Orthodontics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jin Xu, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Eugene, OR
  • NPI 1598508798
  NPD

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1326735697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 VALLEY RIVER DR STE 240",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016759",
            "telephone_number": "541-683-8490",
            "fax_number": "541-302-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 VALLEY RIVER DR STE 240",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016759",
            "telephone_number": "541-683-8490",
            "fax_number": "541-302-5750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2215 Willamette St Ste B",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974053341",
            "country_code": "US",
            "telephone_number": "541-683-8490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1130 E Main St",
            "address_purpose": "LOCATION",
            "city": "Cottage Grove",
            "state": "OR",
            "postal_code": "974242232",
            "country_code": "US",
            "telephone_number": "541-683-8490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRAD A. CHVATAL, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "GARCIA-ROCHA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "CREDENTIALING LEAD",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chvatal Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roseanna Fern Boyer, LPC
• Alicia Boykin
• Dale Lee Brabham, RPH
• Jenna Bracco, LICENSED CLINICAL SO
• Travis Bracco
• Braden Partners LP
• Anne Bradford
• Brian Eugene Bradford, QMHA B.A.
• Joseph Dean Bradford, MPA, QMHA
• Angela M Bradley, FNP

• General Practice Dentistry in Eugene, OR
• Providers in Eugene, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.