Individual provider Active NPI

Daniel Chavez, RD, LD

  • Registered Dietitian
  • El Paso, TX
National Provider Identifier
1871203836
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT87704 Issued in TX
Practice address
8623 N Loop Dr Ste B
El Paso, TX 79907-4520
Phone
(915) 316-1510
NPI assigned
Nov 30, 2022
Last updated
Oct 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT87704 TX Primary

Addresses

Primary practice location

8623 N Loop Dr Ste B
El Paso, TX 79907-4520

Mailing address

8623 N Loop Dr Ste B
El Paso, TX 79907-4520
Phone (915) 316-1510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230427001947 TX Practitioner - Registered Dietitian Or Nutrition Professional 4183089055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kingsway Medical Center, PLLCGroup PAC ID 5092961839, 2 clinicians

Practice addresses (Care Compare)

8623 N Loop Dr
Suite a
El Paso, TX 79907-4520
Phone 9158814155103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DT87704TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Kingsway Medical Center PLLC Dietitian, Registered CurrentSince May 1, 2023 Accepting new patients
Dominion Medical Services, PLLC CurrentSince May 1, 2023 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Locations

1030 N Zaragoza Rd
Ste X
El Paso, TX 79907
Phone (915) 881-4155

Interoperability endpoints

  • Direct secure messaging: daniel.chavez.1@10509.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/10509/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1871203836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8623 N LOOP DR STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799074520",
            "telephone_number": "915-316-1510",
            "fax_number": "915-444-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8623 N LOOP DR STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799074520",
            "telephone_number": "915-316-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "DANIEL",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-30",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT87704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.