Gary Chaffee DDS, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

25371 Issued in CA

Legal business name

GARY CHAFFEE DDS, INC.

Doing business as

Paraiso Family Dental and Orthodontics

Practice address

350 Via Las Brisas
210
Newbury Park, CA 91320-7034

Phone

(805) 480-0033

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gary Duane Chaffee, DDSNPI 1952714214

Title

President

Phone

(805) 480-0033

Specialties & licenses 1

Addresses

Other names 1

• Paraiso Family Dental and Orthodontics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary Chaffee, DDS

  • Dentist
  • Newbury Park, CA
  • NPI 1952714214
  NPD Authorized official

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1750402889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 VIA LAS BRISAS",
            "address_2": "SUITE 210",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913207034",
            "telephone_number": "805-480-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 VIA LAS BRISAS",
            "address_2": "210",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913207034",
            "telephone_number": "805-480-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY CHAFFEE DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "CHAFFEE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-480-0033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "25371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paraiso Family Dental and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Frederica Nina Su
• Glen A Fung, D.D.S.
• Grace Furtek
• Katherine Gallis, RN, IBCLC
• Emilse Maria Garcia Ayala
• Nicole Georges
• Kieran William Giammichele, PT, DPT
• Brooke Ashley Gifford, D.P.M.
• Lisa G Gilbreath, RCP
• Douglas Givin-Dunlap

• Dental Clinic/Center in Newbury Park, CA
• Providers in Newbury Park, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.