Individual provider Active NPI

Christopher Paul Chafin, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Jupiter, FL
National Provider Identifier
1841580982
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
19479 Issued in FL
Practice address
1025 Military TRL Ste 110
Jupiter, FL 33458-7040
Phone
(561) 743-8311
NPI assigned
Apr 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X FL
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 19479 FL Primary

Addresses

Primary practice location

1025 Military TRL Ste 110
Jupiter, FL 33458-7040

Mailing address

1025 Military TRL Ste 110
Jupiter, FL 33458-7040
Phone (561) 743-8311

Other practice location 1

653-1 W 8th St
Jacksonville, FL 32209-6511
Phone (904) 244-3689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190715002653 FL Practitioner - Oral Surgery 9133429160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19479FLMDOral and Maxillofacial Surgery (Dentist)

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: cchafin19518@jupitermedicalcenter.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1841580982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MILITARY TRL STE 110",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587040",
            "telephone_number": "561-743-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MILITARY TRL STE 110",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587040",
            "telephone_number": "561-743-8311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "653-1 W 8th St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322096511",
            "country_code": "US",
            "telephone_number": "904-244-3689",
            "fax_number": "904-244-3870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAFIN",
        "first_name": "CHRISTOPHER",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "19479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.