Daniel Antonio Chavez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12870290-9922 Issued in UT

Practice address

2667 N Washington Blvd
North Ogden, UT 84414-2240

Phone

(801) 782-3920

NPI assigned

Jun 16, 2022

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.

• Boyd Simkins DDS PC

  • Pediatric Dentistry
  • North Ogden, UT
  • NPI 1598607731
  NPD (past)

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1720718232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 W 230 N",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840413060",
            "telephone_number": "801-540-5648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2667 N WASHINGTON BLVD",
            "city": "NORTH OGDEN",
            "state": "UT",
            "postal_code": "844142240",
            "telephone_number": "801-782-3920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2364 W 12600 S Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Riverton",
            "state": "UT",
            "postal_code": "840657109",
            "country_code": "US",
            "telephone_number": "801-386-8836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "DANIEL",
        "middle_name": "ANTONIO",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "12870290-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody Burum, LCSW
• Walter Ryan Butler, DMD
• Nicholas Call, LCSW
• Callie Murray, LCSW, LLC
• Dustin Cameron, D.D.S.
• Nikolas Chertudi, L.P.C.
• Rafael Chino
• Choice Supported Employment of Utah, Inc.
• Cobble Creek Dental LLC
• Kenneth Paul Colledge, PT

• General Practice Dentistry in North Ogden, UT
• Providers in North Ogden, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.