Healthcare Provider Details

I. General information

NPI: 1689068975
Provider Name (Legal Business Name): ALEXIS CHAVEZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2015
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 QUEBEC ST STE 4500
DENVER CO
80207-2310
US

IV. Provider business mailing address

3401 QUEBEC ST STE 4500
DENVER CO
80207-2310
US

V. Phone/Fax

Practice location:
  • Phone: 303-586-6957
  • Fax: 720-792-0551
Mailing address:
  • Phone: 303-586-6957
  • Fax: 720-792-0551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberCDRH.0059416
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: