CARLA L. CHAVEZ-MAYORGA


Address: 1222 Jefferson Park Ave, Charlottesville, VA 22903-3410
Phone: 4349241774

CARLA L. CHAVEZ-MAYORGA (NPI# 1760809354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760809354
Entity Type Individual
Full Name CARLA L. CHAVEZ-MAYORGA
Other Name CARLA LUCIA CHAVEZ
Credential DDS
Practice Address 1222 Jefferson Park Ave
Charlottesville
VA 22903-3410
Mailing Address Po Box 9007
Charlottesville
VA 22906-9007
Practice Telephone 4349241774
Practice Fax Number 4342436378
Enumeration Date 2014-03-21
Last Update Date 2020-10-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 0401411881 VA Dental Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
1204 W Main St, Charlottesville, VA 229032824 4349241774 4349826417
1215 Lee St, Charlottesville, VA 229083410 4349241774

Office Location

Street Address 1222 JEFFERSON PARK AVE
City CHARLOTTESVILLE
State VA
Zip Code 22903-3410

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922085406 Paul V. Targonski Internal Medicine 1222 Jefferson Park Ave, Charlottesville, VA 22903-3410 2005-12-27
1356875298 Davinder Garcha Student in an Organized Health Care Education/Training Program 1222 Jefferson Park Ave, Charlottesville, VA 22908 2017-04-18
1467809848 Donna White Pharmacist 1222 Jefferson Park Ave, Uma Clinic Uva Health System, Charlottesville, VA 22903-3410 2016-05-16
1467893636 Vishawdeep Singh Dhaliwal Dentist 1222 Jefferson Park Ave, Charlottesville, VA 22908-5812 2013-07-16
1871841916 Lavika Mor Dentist 1222 Jefferson Park Ave, Charlottesville, VA 22908-0740 2012-08-21
1053680728 Carla Galbreath Nurse Practitioner 1222 Jefferson Park Ave, 1st Floor, Rm 1400, Charlottesville, VA 22903-3410 2011-12-23
1306079116 Elizabeth A. Lyons Internal Medicine 1222 Jefferson Park Ave, Charlottesville, VA 22903-3410 2009-08-26
1396972576 Amy Salerno Internal Medicine 1222 Jefferson Park Ave, Charlottesville, VA 22903-3410 2009-06-16
1861631715 David M Callender Internal Medicine 1222 Jefferson Park Ave, Charlottesville, VA 22903-3410 2009-02-17
1083860076 Rachel Halina Kon Internal Medicine 1222 Jefferson Park Ave, Charlottesville, VA 22903-3410 2008-08-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326671009 Ticynn Symone London Specialist/Technologist 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 2020-02-20
1043853542 Elaine Mccall Dietitian, Registered 1335 Jefferson Park Ave, Charlottesville, VA 22903 2019-10-28
1205480753 Sean Robert Bennett Clinic/Center 433 Ednam Drive, Charlottesville, VA 22903 2019-08-01
1922562818 Lynn Owen Taggart Student in an Organized Health Care Education/Training Program 300 Grassmere Rd, Charlottesville, VA 22903 2019-01-25
1831636166 Sarah Michelle Richin Social Worker 709 A West Main St, Charlottesville, VA 22903 2017-01-25
1962868851 Kelly Stewart Maurer Counselor 3101 Fontaine Avenue, Charlottesville, VA 22903 2016-01-07
1831592039 Bearley Dental PC Dentist 901 Preston Ave, Suite 200, Charlottesville, VA 22903 2014-10-01
1730437823 Frances Eva Demmerle Neuromusculoskeletal Medicine & OMM 1149 Rose Hill Dr., Charlottesville, VA 22903 2012-08-21
1801142229 University of Virginia General Acute Care Hospital 1925 Beechcrest Court, Charlottesville, VA 22903 2012-08-03
1407123516 Laura P. Handler Counselor 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 2011-11-18
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710588488 Nishchal Mukesh Dalal Dentist 2003 Woodbrook Ct, Charlottesville, VA 22901-1148 2020-11-08
1639641327 Kasey Farah, Dds, P.C. Dentist 1928 Rio Hill Ctr, Charlottesville, VA 22901-1142 2018-12-19
1346600053 Lauren Nicole Aguilar Dentist 320 Winding River Ln Ste 302, Charlottesville, VA 22911-3569 2016-02-24
1497138291 Alexandra Starns Dentist 240 Hydraulic Ridge Rd Ste 102, Charlottesville, VA 22901-8130 2015-06-30
1902217490 Mohamed A. Rezk Dentist 2202 N Berkshire Rd Ste 204, Charlottesville, VA 22901-2761 2014-05-19
1679813703 Simon Karnig Boyadjian Dentist 2120 Ivy Rd, A, Charlottesville, VA 22903-1736 2013-02-27
1154606242 Mohammed A. Almzayyen Dentist 335 Greenbrier Drive, Suite: 204, Charlottesville, VA 22901 2011-10-20
1952632879 Latasha N. Sauls Dentist 1222 Jefferson Park Ave Fl 2n, Charlottesville, VA 22903-3410 2010-01-15
1316178338 Ryan Mark Buckwalter Dentist 1420 Greenbrier Pl, Charlottesville, VA 22901-1696 2009-08-07
1043444144 Lawrence Sherrill Brannon Dentist 683 Berkmar Ct, Charlottesville, VA 22901-1406 2009-05-05
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Competitor

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City CHARLOTTESVILLE
Zip Code 22903

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Dataset Information

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.

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