NPIMap

Organization Active NPI

Juan C. Chavez, D.M.D., P.L.L.C

Doing business as Platinum Dental Care - Provo

  • Dentist
  • Provo, UT
National Provider Identifier
1730586355
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3104344 Issued in UT
Legal business name
JUAN C. CHAVEZ, D.M.D., P.L.L.C
Doing business as
Platinum Dental Care - Provo
Practice address
2520 N University Ave Ste 101
Provo, UT 84604-6081
Phone
(801) 426-6255
NPI assigned
Nov 25, 2014
Last updated
Nov 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Authorized official

Name
Mrs. Jessie L Kitchen
Title
Insurance Coordinator
Phone
(801) 305-3460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 3104344 UT Primary

Addresses

Primary practice location

2520 N University Ave Ste 101
Provo, UT 84604-6081

Mailing address

2520 N University Ave Ste 101
Provo, UT 84604-6081
Phone (801) 426-6255

Other names 1

  • Platinum Dental Care - Provo Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1730586355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 N UNIVERSITY AVE STE 101",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046081",
            "telephone_number": "801-426-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 N UNIVERSITY AVE STE 101",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046081",
            "telephone_number": "801-426-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN C. CHAVEZ, D.M.D., P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "KITCHEN",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "801-305-3460",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "UT",
            "license": "3104344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Platinum Dental Care - Provo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.