Organization Active NPI

Chelsea Family Dental Care

  • General Practice Dentistry
  • Chelsea, MA
National Provider Identifier
1154743672
Registry record updated Jan 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17100 Issued in MA
Legal business name
CHELSEA FAMILY DENTAL CARE
Practice address
357 Broadway
Chelsea, MA 02150-2807
Phone
(617) 889-4014
NPI assigned
Jan 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2014

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

Authorized official

Name
Jeyasri Gunarajasingam
Title
President
Phone
(617) 922-8555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 17100 MA Primary

Addresses

Primary practice location

357 Broadway
Chelsea, MA 02150-2807

Mailing address

357 Broadway
Chelsea, MA 02150-2807
Phone (617) 889-4014

National Provider Directory

National Provider Directory

Locations

357 Broadway
Chelsea, MA 02150
Phone (617) 515-2779

NPI Registry JSON

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389916800000",
    "number": "1154743672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 BROADWAY",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021502807",
            "telephone_number": "617-889-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 BROADWAY",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021502807",
            "telephone_number": "617-889-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELSEA FAMILY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-17",
        "last_updated": "2014-01-17",
        "status": "A",
        "authorized_official_last_name": "GUNARAJASINGAM",
        "authorized_official_first_name": "JEYASRI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-922-8555"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "17100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MA

Sources for this page

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