Edward R Chavez DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019017516 Issued in IL

Legal business name

EDWARD R CHAVEZ DDS PC

Practice address

200 E Willow Ave
Suite 304
Wheaton, IL 60187-5463

Phone

(630) 510-0731

Fax

(630) 510-9779

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Edward R Chavez, DDSNPI 1346587797

Title

President

Phone

(630) 510-0731

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Edward Roger Chavez

  • Dentist
  • Wheaton, IL
  • NPI 1346587797
  NPD (past) Authorized official

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1912062969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E WILLOW AVE",
            "address_2": "SUITE 304",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875447",
            "telephone_number": "630-510-0731",
            "fax_number": "630-510-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E WILLOW AVE",
            "address_2": "SUITE 304",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875463",
            "telephone_number": "630-510-0731",
            "fax_number": "630-510-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD R CHAVEZ DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-510-0731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019017516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simone T Eby
• Maria Guadalupe Echeverria, MSW
• Ecumenical Support Services for the Elderly (ESSE Adult Day Services)
• Ecumenical Support Services for the Elderly Esse Center (ESSE Adult Day Services)
• Edward Health Ventures
• Patricia Juanita Eggleston, PH.D.
• Eikrs Service Corporation
• Jenna Eisenberg, D.C.
• Debra Eisenhart
• Noha S Ekdawi, M.D.

• General Practice Dentistry in Wheaton, IL
• Providers in Wheaton, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.