Active NPI
Dashayna Chavis
- Prevention Professional
- Xenia, OH
National Provider Identifier
1881347813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- RA162926
- Practice address
- 452 W Market St
Xenia, OH 45385-2815 - Phone
- (937) 376-8700
- Fax
- (937) 376-8725
- NPI assigned
- Jan 31, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prevention Professional | 405300000X | RA162926 | OH | Primary |
Addresses
Primary practice location
452 W Market St
Xenia, OH 45385-2815
Mailing address
452 W Market St
Xenia, OH 45385-2815
Phone (937) 376-8700
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RA162926 | OH | MD | Prevention Professional |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643587200000",
"number": "1881347813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "452 W MARKET ST",
"city": "XENIA",
"state": "OH",
"postal_code": "453852815",
"telephone_number": "937-376-8700",
"fax_number": "937-376-8725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "452 W MARKET ST",
"city": "XENIA",
"state": "OH",
"postal_code": "453852815",
"telephone_number": "937-376-8700",
"fax_number": "937-376-8725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVIS",
"first_name": "DASHAYNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-31",
"last_updated": "2022-01-31",
"certification_date": "2022-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "OH",
"license": "RA162926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Xenia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.