Organization Active NPI

Chaves Professional Dental Corporation

  • Dentist
  • Woodland Hills, CA
National Provider Identifier
1841516978
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39383 Issued in CA
Legal business name
CHAVES PROFESSIONAL DENTAL CORPORATION
Practice address
5312 Comercio LN
Suite a
Woodland Hills, CA 91364-2026
Phone
(818) 999-2707
Fax
(818) 703-1998
NPI assigned
Apr 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Authorized official

Name
Dr. John Manuel Chaves, DDSNPI 1134264518
Title
Dentist/Owner
Phone
(818) 999-2707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 39383 CA Primary

Addresses

Primary practice location

5312 Comercio LN
Suite a
Woodland Hills, CA 91364-2026

Mailing address

5312 Comercio LN
Suite a
Woodland Hills, CA 91364-2026
Phone (818) 999-2707

National Provider Directory

National Provider Directory

Locations

5312 Comercio Ln
#A
Woodland Hills, CA 91364
Phone (818) 740-6737

5312 Comercio Ln
Woodland Hls, CA 91364
Phone (818) 999-2707

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1841516978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5312 COMERCIO LN",
            "address_2": "SUITE A",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642026",
            "telephone_number": "818-999-2707",
            "fax_number": "818-703-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5312 COMERCIO LN",
            "address_2": "SUITE A",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642026",
            "telephone_number": "818-999-2707",
            "fax_number": "818-703-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAVES PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-14",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "CHAVES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "818-999-2707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "39383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; 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.