Individual provider Active NPI

Kim M Chau, DMD

  • Dentist
  • Sudbury, MA
National Provider Identifier
1114904117
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18835 Issued in MA
Practice address
111 Boston Post Rd
Suite 104
Sudbury, MA 01776-2463
Phone
(978) 440-8177
Fax
(978) 440-8175
NPI assigned
Dec 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 18835 MA Primary

Addresses

Primary practice location

111 Boston Post Rd
Suite 104
Sudbury, MA 01776-2463

Mailing address

111 Boston Post Rd
Suite 104
Sudbury, MA 01776-2463
Phone (978) 440-8177

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
I20160511001931 MA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8628367851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18835MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Paul Kang, DMD, P.C. Past Accepting new patients
Kim M. Chau,D.M.D.,P.C. Dentist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114904117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BOSTON POST RD",
            "address_2": "SUITE 104",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017762463",
            "telephone_number": "978-440-8177",
            "fax_number": "978-440-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BOSTON POST RD",
            "address_2": "SUITE 104",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017762463",
            "telephone_number": "978-440-8177",
            "fax_number": "978-440-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAU",
        "first_name": "KIM",
        "middle_name": "M",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "18835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sudbury, MA

Sources for this page

Verify at the official NPI Registry.