Dewayne E Caviness, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A19099 Issued in CA

Practice address

1040 Mangrove Ave
Chico, CA 95926-3509

Phone

(530) 345-0064

Fax

(530) 345-0080

NPI assigned

Jul 6, 2006

Sex

Male

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1912938887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 COHASSET RD",
            "address_2": "STE 300",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262235",
            "telephone_number": "530-345-0064",
            "fax_number": "530-345-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 MANGROVE AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263509",
            "telephone_number": "530-345-0064",
            "fax_number": "530-345-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVINESS",
        "first_name": "DEWAYNE",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A19099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A190990",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catalyst Domestic Violence Services
• Vicki Lorraine Catomerisios, MFTI
• Lisa E Catterall, BSN, CNM
• Danissa Causor
• Daniel D. Caviness, D.P.M
• Randall Elton Caviness, M.D.
• Emily Dale Cecil, OTD
• Logan Cecil, RDHAP
• Daniel Alonso Celis
• Century Radiology Medical Group, Inc

• General Practice Physician in Chico, CA
• Providers in Chico, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.