Organization Active NPI

Luz a Chavez DDS PC

Doing business as All Family Dentistry PC

  • Dentist
  • Matthews, NC
National Provider Identifier
1467890301
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8880 Issued in NC
Legal business name
LUZ A CHAVEZ DDS PC
Doing business as
All Family Dentistry PC
Practice address
9912 Monroe Rd
Suite 100
Matthews, NC 28105-5416
Phone
(704) 847-0161
Fax
(704) 847-0163
NPI assigned
Jun 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Authorized official

Name
Mrs. Luz A Chavez, DDS
Title
Doctor
Phone
(704) 847-0161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 8880 NC Primary

Addresses

Primary practice location

9912 Monroe Rd
Suite 100
Matthews, NC 28105-5416

Mailing address

9912 Monroe Rd
Suite 100
Matthews, NC 28105-5416
Phone (704) 847-0161

Other identifiers 1

IdentifierTypeStateIssuer
5921743MedicaidNC

Other names 1

  • ALL FAMILY DENTISTRY PC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
All Family Dentistry PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9912 Monroe Rd
Ste 100
Matthews, NC 28105
Phone (704) 814-8881

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1467890301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9912 MONROE RD",
            "address_2": "SUITE 100",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055416",
            "telephone_number": "704-847-0161",
            "fax_number": "704-847-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9912 MONROE RD",
            "address_2": "SUITE 100",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055416",
            "telephone_number": "704-847-0161",
            "fax_number": "704-847-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUZ A CHAVEZ DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "704-847-0161",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "8880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5921743",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALL FAMILY DENTISTRY PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.