Individual provider Active NPI

Christine Chiao, DMD

  • General Practice Dentistry
  • Boston, MA
National Provider Identifier
1104486521
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1858441 Issued in MA
Practice address
691 Massachusetts Ave Unit 404
Boston, MA 02118-4079
Phone
(978) 394-3397
NPI assigned
Jun 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN1858441 MA
General Practice Dentistry 1223G0001X DN1858441 MA Primary

Addresses

Primary practice location

691 Massachusetts Ave Unit 404
Boston, MA 02118-4079

Mailing address

691 Massachusetts Ave Unit 404
Boston, MA 02118-4079
Phone (978) 394-3397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221117001360 MA Practitioner - Dentist 3274901582 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Boston University CurrentSince Oct 1, 2022 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients

Locations

100 East Newton St
#G407
Boston, MA 02118
Phone (617) 638-4350

Interoperability endpoints

  • Direct secure messaging: cchiao244656@direct.bostonchildrens.org
  • Direct secure messaging: cchiao132173@direct.bmc.masshiway.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1104486521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "691 MASSACHUSETTS AVE UNIT 404",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021184079",
            "telephone_number": "978-394-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 MASSACHUSETTS AVE UNIT 404",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021184079",
            "telephone_number": "978-394-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIAO",
        "first_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "DN1858441",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1858441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.