NPIMap

Organization Active NPI

One Dental Care, PC

  • General Practice Dentistry
  • Billerica, MA
National Provider Identifier
1144624735
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN21262 Issued in MA
Legal business name
ONE DENTAL CARE, PC
Practice address
655 Boston Rd
Unit 3a
Billerica, MA 01821-5338
Phone
(978) 667-0691
Fax
(978) 215-5723
NPI assigned
Oct 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2014

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

Authorized official

Name
Dr. Kunio Kwok-Hung Chan, DMD, MAGDNPI 1245232396
Title
Director
Phone
(617) 458-2259

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DN21262 MA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 13403 MA

Addresses

Primary practice location

655 Boston Rd
Unit 3a
Billerica, MA 01821-5338

Mailing address

655 Boston Rd
Unit 3a
Billerica, MA 01821-5338
Phone (978) 667-0691

National Provider Directory

National Provider Directory
Tax ID family
One Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412899200000",
    "number": "1144624735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 BOSTON RD",
            "address_2": "UNIT 3A",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018215338",
            "telephone_number": "978-667-0691",
            "fax_number": "978-215-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 BOSTON RD",
            "address_2": "UNIT 3A",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018215338",
            "telephone_number": "978-667-0691",
            "fax_number": "978-215-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE DENTAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-10",
        "last_updated": "2014-10-10",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "KUNIO",
        "authorized_official_middle_name": "KWOK-HUNG",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "617-458-2259",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MAGD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN21262",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "13403",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billerica, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; 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.