Diane Renee Chavis, D,.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6689-C1 Issued in AL

Practice address

3700 Blue Spring Rd NW Ste F
Huntsville, AL 35810-3457

Phone

(256) 852-9994

NPI assigned

Aug 28, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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.

• Vital Smiles Alabama II PC

  • Dentist
  • Huntsville, AL
  • NPI 1265999395
  NPD (past)
• Vital Smiles Alabama, P.C.

  • General Practice Dentistry
  • Huntsville, AL
  • NPI 1962557181
  NPD (past)
• FCD of Jackson, PLLC

  • General Practice Dentistry
  • Jackson, TN
  • NPI 1568538965
  NPD (past)

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1356897623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 58",
            "city": "ITTA BENA",
            "state": "MS",
            "postal_code": "38941",
            "telephone_number": "337-257-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 BLUE SPRING RD NW STE F",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358103457",
            "telephone_number": "256-852-9994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164500",
            "country_code": "US",
            "telephone_number": "601-984-6028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1523 S Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383017520",
            "country_code": "US",
            "telephone_number": "731-424-6452",
            "fax_number": "731-424-9719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVIS",
        "first_name": "DIANE",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "D,.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "10428",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "6689-C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Chasteen
• Bryant Allen Chastine, CRNA
• Maida Sarfraz Chaudhry, MD
• Rashmi Chauhan
• Sandra Tigue Chaviers, C.R.N.P.
• Shirlene Cheatom
• Constance Chedester, FNP-BC
• Venkatesh Gupta Cheetirala, MD
• Chelsea Edwards Nutrition LLC
• Henry J Chen, M.D.

• General Practice Dentistry in Huntsville, AL
• Providers in Huntsville, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.