Ricardo Chavez DDS PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

22630 Issued in TX

Legal business name

RICARDO CHAVEZ DDS PLLC

Practice address

11365 Montwood Dr
Ste. B
El Paso, TX 79936-3854

Phone

(915) 849-6380

Fax

(915) 849-6330

NPI assigned

Oct 17, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Ricardo Chavez, DDS

Title

President

Phone

(915) 849-6380

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1942751789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11365 MONTWOOD DR",
            "address_2": "STE. B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799363854",
            "telephone_number": "915-849-6380",
            "fax_number": "915-849-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11365 MONTWOOD DR",
            "address_2": "STE. B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799363854",
            "telephone_number": "915-849-6380",
            "fax_number": "915-849-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO CHAVEZ DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-849-6380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "22630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "289222601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Martha Ricci
• Ricci's Foster Home

• Dentist in El Paso, TX
• Providers in El Paso, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.