Organization Active NPI

William a Chavira, M.D.P.C.

  • Specialist
  • Phoenix, AZ
National Provider Identifier
1801177803
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
28008 Issued in AZ
Legal business name
WILLIAM A CHAVIRA, M.D.P.C.
Practice address
600 W Thomas Rd
Phoenix, AZ 85013-4213
Phone
(602) 234-9611
Fax
(602) 234-0011
NPI assigned
Sep 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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

Authorized official

Name
William A Chavira, MD
Title
President/Physician
Phone
(602) 234-9611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 28008 AZ Primary

Addresses

Primary practice location

600 W Thomas Rd
Phoenix, AZ 85013-4213

Mailing address

600 W Thomas Rd
Phoenix, AZ 85013-4213
Phone (602) 234-9611

Other identifiers 1

IdentifierTypeStateIssuer
497653MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1801177803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134213",
            "telephone_number": "602-234-9611",
            "fax_number": "602-234-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134213",
            "telephone_number": "602-234-9611",
            "fax_number": "602-234-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM A CHAVIRA, M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "CHAVIRA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "602-234-9611",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "28008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "497653",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.