Christine T Chiaviello, MD

Primary specialty

Pediatric Dermatology PhysicianTaxonomy code 207NP0225X

License

17636 Issued in SC

Practice address

1096 Ribaut Rd
Beaufort, SC 29902

Phone

(843) 524-5550

Fax

(843) 524-6798

NPI assigned

Sep 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861596009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1096 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "29902",
            "telephone_number": "843-524-5550",
            "fax_number": "843-524-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1096 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "29902",
            "telephone_number": "843-524-5550",
            "fax_number": "843-524-6798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIAVIELLO",
        "first_name": "CHRISTINE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "SC",
            "license": "17636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1193",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charleston Pathology PA
• Charleston Vamc
• Natasha Chavez
• Frances Pringle Cherry, OTR/L
• Ellen E Chesnut, RN LMFT INDIANA
• Celestin Chicos, MD
• Braden Childers
• Shenika Chisolm
• Chris Mohler, DDS, LLC
• Chris Mohler, DDS, LLC

• Pediatric Dermatology Physician in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Pediatric Dermatology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.