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JAI CHAVIS MD
NPI 1710780259
Student in an Organized Health Care Education/Training Program in Manchester, CT

Active since March 31, 2025
130 HARTFORD RD, MANCHESTER, CT 06040(860) 533-4679 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jai Chavis Md NPPES

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

JAI CHAVIS MD (NPI 1710780259) is an individual student in an organized health care education/training program in Manchester, Connecticut and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1710780259
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJAI CHAVISCredential: MD
Location Address130 HARTFORD RDManchester, CT 06040-5921
Mailing Address71 Haynes StManchester, CT 06040-4188 · (860) 533-4679 · Fax (860) 645-4151
Phone(860) 533-4679
Sole ProprietorNo
Enumeration DateMarch 31, 2025
NPPES CertifiedMarch 30, 2025
✔ NPI 1710780259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
130 HARTFORD RD, Manchester, CT 06040
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Other Providers at the Same Location NPPES 20

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

DR. JOHN SCOTT BAROODY
Student in an Organized Health Care Education/Training Program
130 HARTFORD RD
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-4679
VERONICA MARTINS PEREIRA
Student in an Organized Health Care Education/Training Program
130 HARTFORD RD
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-4679
JACOB MAALOUF MD
Student in an Organized Health Care Education/Training Program
130 HARTFORD RD
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-4679
DR. ERIC DAVID SASSU MD
Family Medicine
130 HARTFORD RD
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-4673
DIANE SIEH
Student in an Organized Health Care Education/Training Program
130 HARTFORD RD
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-4679
KODILICHI VJ BALDINO MD
Anesthesiology
130 HARTFORD RD
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-4673
ANDREI LIEDERS
Hospitalist
130 HARTFORD RD
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-4679
SARAH HOWARD
Student in an Organized Health Care Education/Training Program
130 HARTFORD RD
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-4679

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 Jai Chavis's NPI number?

The NPI number for Jai Chavis is 1710780259. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Jai Chavis located?

Jai Chavis practices at 130 Hartford Rd, Manchester, CT 06040. The listed phone number is (860) 533-4679.

What is Jai Chavis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jai Chavis was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.