DR. DIANE RENEE CHAVIS (NPI# 1356897623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356897623 |
| Entity Type | Individual |
| Full Name | DR. DIANE RENEE CHAVIS |
| Credential | D,.D.S |
| Practice Address |
3700 Blue Spring Rd Nw Ste F Huntsville AL 35810-3457 |
| Mailing Address |
P.o Box 58 Itta Bena MS 38941 |
| Practice Telephone | 2568529994 |
| Mailing Telephone | 3372572388 |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2019-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6689-C1 | AL | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
10428 | TN | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2500 N State St, Jackson, MS 392164500 | 6019846028 | |
| 1523 S Highland Ave, Jackson, TN 383017520 | 7314246452 | 7314249719 |
| Street Address |
3700 BLUE SPRING RD NW STE F |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35810-3457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558473686 | Michael Allen Vanbeukering | Dentist | 3700 Blue Spring Rd Nw Ste F, Huntsville, AL 35810-3457 | 2006-08-31 |
| 1265999395 | Vital Smiles Alabama II PC | Dentist | 3700 Blue Spring Rd Nw Ste F, Huntsville, AL 35810-3457 | 2019-02-25 |
| 1720599897 | Sabrina Stewart Lugo | Dentist | 3700 Blue Spring Rd Nw Ste F, Huntsville, AL 35810-3457 | 2017-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821632928 | Janice Marie Scott | Technician | 3611 Grizzard Rd, Huntville, AL 35810 | 2019-10-31 |
| 1285094888 | Restore Therapy Services, Ltd | Occupational Therapist | 2061 Poole Drive, Huntsville, AL 35810 | 2016-02-25 |
| 1932442290 | Angela Lynell Miller | Specialist | 3228 Suite D Lodge Rd, Huntsville, AL 35810 | 2013-04-04 |
| 1376795104 | Amy Kathryn Scott | Occupational Therapist | 2061 Poole Drive Nw, Huntsville, AL 35810 | 2008-10-10 |
| 1306968565 | Mary Ann Mcdonald | Nurse Practitioner | 410 Sivley Rd Sw, Huntsville, AL 35810 | 2007-04-06 |
| 1801934815 | Great Expressions Dental Care | Dentist | 5045 North Memorial Parkway, Ste D, Hunstville, AL 35810 | 2007-02-02 |
| 1912004185 | Anthony Toney | Dentist | 2585 Sparkman Dr, Huntsville, AL 35810 | 2006-09-20 |
| 1710998349 | North Rimm Pharmacy LLC | Pharmacy | 5045 N Memorial Pkwy, Ste A, Huntsville, AL 35810 | 2006-08-10 |
| 1659855088 | Ashley Marie Patel | Occupational Therapist | 2061 Poole Drive, Huntsville, AL 35810 | 2018-09-21 |
| 1003309584 | Pamela L Cook | Occupational Therapist | 2061 Poole Drive, Huntsville, AL 35810 | 2018-06-11 |
| Find all providers in zip 35810 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497316095 | Michael Brett Torello | Dentist | 112 Lily Flagg Rd Sw Ste A, Huntsville, AL 35802-3040 | 2019-06-25 |
| 1457910564 | Andrew Henninger | Dentist | 2246 Winchester Rd Ne Ste 106, Huntsville, AL 35811-6801 | 2019-06-12 |
| 1528534179 | Amy D. Thompson, Dmd, PC | Dentist | 111 Park Place Dr Ste F, Huntsville, AL 35806-4252 | 2018-10-22 |
| 1528573987 | Alan Wu | Dentist | 245 Interstate 45 S Ste D, Huntsville, TX 77340 | 2017-12-07 |
| 1336681063 | Balmoral Dental Center | Dentist | 4000 Balmoral Dr Sw Ste 201, Huntsville, AL 35801-7432 | 2016-11-11 |
| 1760842066 | Qussay Al Jawhar | Dentist | 3011 Highway 30 W Ste 101c, Huntsville, TX 77340-3534 | 2016-02-29 |
| 1659738276 | Clear Creek Dentistry, Pllc | Dentist | 901 Normal Park Dr Ste 202, Huntsville, TX 77320-3770 | 2016-01-27 |
| 1437528262 | Smdr LLC | Dentist | 2313 Starmount Cir Sw, Huntsville, AL 35801-3817 | 2015-09-22 |
| 1366831372 | Pwd Dentistry Management LLC | Dentist | 2804 Lake Rd Ste 5, Huntsville, TX 77340-5626 | 2015-01-14 |
| 1689001638 | Stonecreek Acquisitions | Dentist | 7224 Governors West Nw, Huntsville, AL 35806-2051 | 2013-10-07 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35810 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.