Individual provider Active NPI

Kylee Chavez, DDS

  • Dentist
  • Cathedral City, CA
National Provider Identifier
1649185414
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
113601 Issued in CA
Practice address
67760 E Palm Canyon Dr Ste C
Cathedral City, CA 92234-5472
Phone
(760) 688-7653
NPI assigned
Aug 17, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 113601 CA Primary

Addresses

Primary practice location

67760 E Palm Canyon Dr Ste C
Cathedral City, CA 92234-5472

Mailing address

25842 Sahatapa LN
Loma Linda, CA 92354-6552

Other practice location 1

303 Brookside Ave
Redlands, CA 92373-4607
Phone (909) 793-8837

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": "1786924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1649185414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25842 SAHATAPA LN",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923546552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67760 E PALM CANYON DR STE C",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922345472",
            "telephone_number": "760-688-7653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Brookside Ave",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923734607",
            "country_code": "US",
            "telephone_number": "909-793-8837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "KYLEE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "113601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cathedral City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.