Active NPI
Ricardo Chavez, DDS
- Dentist
- El Paso, TX
National Provider Identifier
1528177227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22630
- Practice address
- 11365 Montwood Dr
Suite a
El Paso, TX 79936 - Phone
- (915) 849-6380
- Fax
- (915) 849-6330
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 22630 | TX | Primary |
Addresses
Primary practice location
11365 Montwood Dr
Suite a
El Paso, TX 79936
Mailing address
11365 Montwood Dr
Suite a
El Paso, TX 79936
Phone (915) 849-6380
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190764800000",
"number": "1528177227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11365 MONTWOOD DR",
"address_2": "SUITE A",
"city": "EL PASO",
"state": "TX",
"postal_code": "79936",
"telephone_number": "915-849-6380",
"fax_number": "915-849-6330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11365 MONTWOOD DR",
"address_2": "SUITE A",
"city": "EL PASO",
"state": "TX",
"postal_code": "79936",
"telephone_number": "915-849-6380",
"fax_number": "915-849-6330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVEZ",
"first_name": "RICARDO",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2007-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "22630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.