Individual provider Active NPI

Gabriela Chiaramida

  • General Practice Dentistry
  • Melrose, MA
National Provider Identifier
1013651009
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1859474 Issued in MA
Practice address
820 Lynn Fells Pkwy
Melrose, MA 02176-2501
Phone
(781) 979-0235
NPI assigned
Apr 25, 2022
Reactivated
May 20, 2022
Last updated
Jul 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1859474 MA Primary

Addresses

Primary practice location

820 Lynn Fells Pkwy
Melrose, MA 02176-2501

Mailing address

15 Valley Rd
Stoneham, MA 02180-3444
Phone (781) 864-6337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1859474MAMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1013651009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 VALLEY RD",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803444",
            "telephone_number": "781-864-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 LYNN FELLS PKWY",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021762501",
            "telephone_number": "781-979-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIARAMIDA",
        "first_name": "GABRIELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "deactivation_date": "2022-04-25",
        "reactivation_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "1859474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.