Individual provider Active NPI

Tomas Acevedo Chavez, D.O.

  • Family Medicine Physician
  • Oro Valley, AZ
National Provider Identifier
1821480666
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
006453 Issued in AZ
Practice address
1521 E Tangerine Rd Ste 315
Oro Valley, AZ 85755-6222
Phone
(520) 901-6350
NPI assigned
Mar 3, 2015
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2014033463 MO
Family Medicine Physician 207Q00000X 275096 NY
Family Medicine Physician 207Q00000X 006453 AZ Primary

Addresses

Primary practice location

1521 E Tangerine Rd Ste 315
Oro Valley, AZ 85755-6222

Mailing address

1521 E Tangerine Rd Ste 315
Oro Valley, AZ 85755-6222
Phone (520) 901-6350

Other practice location 1

800 W Jefferson St
Kirksville, MO 63501-1443
Phone (660) 626-2222

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)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2014033463MOMDFamily Medicine Physician
275096NYMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1821480666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 E TANGERINE RD STE 315",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857556222",
            "telephone_number": "520-901-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 E TANGERINE RD STE 315",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857556222",
            "telephone_number": "520-901-6350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 W Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Kirksville",
            "state": "MO",
            "postal_code": "635011443",
            "country_code": "US",
            "telephone_number": "660-626-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "TOMAS",
        "middle_name": "ACEVEDO",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2014033463",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "275096",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "006453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.