Mauricio Chavarriaga, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN16296 Issued in FL

Practice address

10800 Dylan Loren Cir
Ste 103
Orlando, FL 32825-4437

Phone

(407) 704-7863

Fax

(321) 248-0330

NPI assigned

Oct 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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.

• East Orange Endodontics

  • Dental Clinic/Center
  • Orlando, FL
  • NPI 1952731887
  NPD (past) Authorized official

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1669661153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 DYLAN LOREN CIR",
            "address_2": "STE 103",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254437",
            "telephone_number": "407-704-7863",
            "fax_number": "321-248-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 DYLAN LOREN CIR",
            "address_2": "STE 103",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254437",
            "telephone_number": "407-704-7863",
            "fax_number": "321-248-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVARRIAGA",
        "first_name": "MAURICIO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-19",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN16296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nauman S Chaudhry, MD
• Usman Shahid Chaudhry, MD
• Saiteja Chava, MD
• Vincent Alan Chavanon, MD
• Melissa Jimenez Chavarria, PA-C
• Kamal Kumar Chavda, MD
• Isis Caroline Chaves, RBT-23-318231
• Linda Chaves, OTR
• Yaneksi Chavez Mon
• Alejandra Chavez Vina

• Endodontics in Orlando, FL
• Providers in Orlando, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.