O.T. Tan, M.D., P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

51655 Issued in MA

Legal business name

O.T. TAN, M.D., P.C.

Practice address

29 Commonwealth Ave
Suite #101
Boston, MA 02116-2349

Phone

(617) 424-8335

NPI assigned

Mar 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Oon Tian Tan, M.D., PH.D.NPI 1992766596

Title

Owner

Phone

(617) 424-8335

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oon Tian Tan, M.D

  • Dermatology Physician
  • Boston, MA
  • NPI 1992766596
  NPD (past) Authorized official

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1114198306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 COMMONWEALTH AVE",
            "address_2": "SUITE #101",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 COMMONWEALTH AVE",
            "address_2": "SUITE #101",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162349",
            "telephone_number": "617-424-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O.T. TAN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "OON",
        "authorized_official_middle_name": "TIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-424-8335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "51655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J04322",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace O Dea
• Christopher J O Donnell, MD MPH
• Breandan Padraig O Niadh, BA B DENT SC
• Michael O Toole, DMD
• Jane Miha O, M.D.
• Arthur O' Connor
• Catherine Mary O' Connor, NP., CNM.
• Conall O' Seaghdha, M.D.
• Danielle O'Banion, M.D.
• Amy R O'Brien Charles, MD

• Specialist in Boston, MA
• Providers in Boston, MA by specialty
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.