Kevin Chavez Martinez

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

Practice address

500 Monroe St
Medford, OR 97501-3522

Phone

(541) 608-6868

Fax

(541) 608-6869

NPI assigned

Jul 12, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Maslow Project

  • Case Management Agency
  • Medford, OR
  • NPI 1346883188
  NPD (past)

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1982256640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MONROE ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975013522",
            "telephone_number": "541-608-6868",
            "fax_number": "541-608-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MONROE ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975013522",
            "telephone_number": "541-608-6868",
            "fax_number": "541-608-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ MARTINEZ",
        "first_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.maslowproject.com/",
            "affiliation": "N",
            "address_1": "500 Monroe St",
            "city": "Medford",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975013522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tracy Charlesworth-John
• Tiki Charvat
• George Yiu on Chau
• Tiffany Chau
• Madisyn Rylee Chaufty, QMHA
• Allyson J Chavez
• Erik Chavez
• Olivia Chavez
• Margarita Chernova, PHARMACIST
• Indigo Cherrick

• School Social Worker in Medford, OR
• Providers in Medford, OR by specialty
• School Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.