Active NPI
Steve Chavez
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Dallas, TX
National Provider Identifier
1801560586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- 11111111
- Practice address
- 3520 Wheeler St Apt 1452
Dallas, TX 75209-6450 - Phone
- (469) 316-0858
- Fax
- (888) 773-1536
- NPI assigned
- Aug 5, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 11111111 | TX | Primary |
Addresses
Primary practice location
3520 Wheeler St Apt 1452
Dallas, TX 75209-6450
Mailing address
3520 Wheeler St Apt 1452
Dallas, TX 75209-6450
Phone (469) 316-0858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11111111 | TX | MD | Intellectual and/or Developmental Disabilities Residential Treatment Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ro St & Associates LLC | Residential Treatment Facility, Intellectual and/Or Developmental Disabilities | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Dallas, TX
- NPI 1437552700
Residential Treatment Facility, Intellectual and/Or Developmental Disabilities
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1801560586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3520 WHEELER ST APT 1452",
"city": "DALLAS",
"state": "TX",
"postal_code": "752096450",
"telephone_number": "469-316-0858",
"fax_number": "888-773-1536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3520 WHEELER ST APT 1452",
"city": "DALLAS",
"state": "TX",
"postal_code": "752096450",
"telephone_number": "469-316-0858",
"fax_number": "888-773-1536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVEZ",
"first_name": "STEVE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-05",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "TX",
"license": "11111111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.