Active NPI
Tracey Adams Chessare, M.D.
- Dermatology Physician
- Milford, MA
National Provider Identifier
1083852461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 203987
- Practice address
- 1 Maple St
Milford, MA 01757-5614 - Phone
- (508) 478-2610
- Fax
- (508) 478-2667
- NPI assigned
- Jan 23, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 203987 | MA | Primary |
Addresses
Primary practice location
1 Maple St
Milford, MA 01757-5614
Mailing address
340 Maple St
Marlborough, MA 01752-3200
Phone (508) 485-7779
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258934400000",
"number": "1083852461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 MAPLE ST",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017523200",
"telephone_number": "508-485-7779",
"fax_number": "508-485-7769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MAPLE ST",
"city": "MILFORD",
"state": "MA",
"postal_code": "017575614",
"telephone_number": "508-478-2610",
"fax_number": "508-478-2667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHESSARE",
"first_name": "TRACEY",
"middle_name": "ADAMS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-23",
"last_updated": "2009-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MA",
"license": "203987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.