Active NPI
Reve Warner Chaston, DDS
- Periodontics
- Layton, UT
National Provider Identifier
1417968678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DE00010563
- Practice address
- 2185 North 1700 West
201
Layton, UT 84041 - Phone
- (801) 728-3388
- NPI assigned
- Aug 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DE00010563 | WA | Primary |
Addresses
Primary practice location
2185 North 1700 West
201
Layton, UT 84041
Mailing address
2185 North 1700 West
201
Layton, UT 84041
Phone (801) 728-3388
Other practice location 1
410 W Fourth Plain Blvd
Vancouver, WA 98660
Phone (360) 693-1200
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
| License | State | Type | Specialty |
|---|---|---|---|
| DE00010563 | WA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565308800000",
"number": "1417968678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2185 NORTH 1700 WEST",
"address_2": "201",
"city": "LAYTON",
"state": "UT",
"postal_code": "84041",
"telephone_number": "801-728-3388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2185 NORTH 1700 WEST",
"address_2": "201",
"city": "LAYTON",
"state": "UT",
"postal_code": "84041",
"telephone_number": "801-728-3388"
}
],
"practiceLocations": [
{
"address_1": "410 W Fourth Plain Blvd",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "98660",
"country_code": "US",
"telephone_number": "360-693-1200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHASTON",
"first_name": "REVE",
"middle_name": "WARNER",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2019-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "WA",
"license": "DE00010563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.