LETICIA CHAVEZ
NPI 1205415767
Dentist - General Practice in Rohnert Park, CA

Active since April 02, 2021PECOS Enrolled
6315 COMMERCE BLVD, ROHNERT PARK, CA 94928(707) 490-9282 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2024, Apr 2, 2021 (2 updates tracked since 2021).

About Leticia Chavez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LETICIA CHAVEZ (NPI 1205415767) is an individual general practice provider in Rohnert Park, California, licensed in California (109948) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205415767
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameLETICIA CHAVEZ
Location Address6315 COMMERCE BLVDRohnert Park, CA 94928-2403
Mailing Address6315 Commerce BlvdRohnert Park, CA 94928-2403 · (707) 490-9282
Sole ProprietorNo
Enumeration DateApril 2, 2021
Last NPPES UpdateJune 19, 20242 updates tracked since enumeration
NPPES CertifiedJune 19, 2024
NPI 1205415767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 109948
Definition
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.
6315 COMMERCE BLVD, Rohnert Park, CA 94928

Secondary Practice Locations 2

Location 130040 SW Boones Ferry Rd Ste 20Wilsonville, OR 97070-8910 · Phone (503) 682-4500
Location 23181 SW Sam Jackson Park RdPortland, OR 97239-3098 · Phone (503) 494-8211

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Leticia Chavez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94928 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
6315 COMMERCE BLVD
ROHNERT PARK, CA 94928
Dentist
6315 COMMERCE BLVD
ROHNERT PARK, CA 94928
Dentist
6315 COMMERCE BLVD
ROHNERT PARK, CA 94928
Dentist
6315 COMMERCE BLVD
ROHNERT PARK, CA 94928
Dentist (General Practice)
6315 COMMERCE BLVD
ROHNERT PARK, CA 94928
Dentist (General Practice)
6315 COMMERCE BLVD
ROHNERT PARK, CA 94928
Dentist
6315 COMMERCE BLVD
ROHNERT PARK, CA 94928

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leticia Chavez's NPI number?

The NPI number for Leticia Chavez is 1205415767. It was assigned to this individual provider in the NPPES registry on April 2, 2021.

Where is Leticia Chavez located?

Leticia Chavez practices at 6315 Commerce Blvd, Rohnert Park, CA 94928. The listed phone number is (707) 490-9282.

What is Leticia Chavez's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Leticia Chavez enrolled in Medicare?

Yes. Leticia Chavez is registered in the Medicare PECOS enrollment system.

What insurance does Leticia Chavez accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Leticia Chavez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Leticia Chavez was last updated on June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.