Individual provider Active NPI

Christopher G Pace, DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Burlington, MA
National Provider Identifier
1184678930
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
DN1855832 Issued in MA
Practice address
77 S Bedford St Ste 100
Burlington, MA 01803-5154
Phone
(781) 272-0800
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN1855832 MA
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X DN1855832 MA Primary

Addresses

Primary practice location

77 S Bedford St Ste 100
Burlington, MA 01803-5154

Mailing address

80 Davison Dr
Lincoln, MA 01773-2216
Phone (857) 600-8253

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
I20110930000151 MA Practitioner - Oral Surgery 9032248968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Burlington Oral and Facial Surgery Center LLCGroup PAC ID 2264656859, 3 clinicians

Practice addresses (Care Compare)

625 Mount Auburn St
Suite 205
Cambridge, MA 02138-4555
Phone (617) 468-3100

77 S Bedford St
Suite 100
Burlington, MA 01803-5154
Phone (781) 272-0800

77 S Bedford St
Suite 100
Burlington, MA 01803-5217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1855832MAMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Burlington Oral and Facial Surgery Center LLC Oral and Maxillofacial Surgery CurrentSince Jul 1, 2013 Accepting new patients
University of Vermont Medical Center Inc PastSince Sep 1, 2021 Accepting new patients
Commonwealth Oral & Maxillofacial Surgical Associates Inc. Oral and Maxillofacial Surgery PastSince Sep 10, 2008 Accepting new patients

Locations

77 S Bedford St
Ste 100
Burlington, MA 01803
Phone (781) 272-0800

Organizations & group practices 3

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1184678930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 DAVISON DR",
            "city": "LINCOLN",
            "state": "MA",
            "postal_code": "017732216",
            "telephone_number": "857-600-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 S BEDFORD ST STE 100",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018035154",
            "telephone_number": "781-272-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "CHRISTOPHER",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "DN1855832",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MA",
            "license": "DN1855832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

Verify at the official NPI Registry.