Active NPI
Dennis Chin, ATC
- Athletic Trainer
- Belmont, MA
National Provider Identifier
1194811265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- E149653
- Practice address
- 350 Prospect St
Belmont, MA 02478-2656 - Phone
- (617) 993-5272
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | E149653 | MA | Primary |
Addresses
Primary practice location
350 Prospect St
Belmont, MA 02478-2656
Mailing address
66 Colborne Rd
Brighton, MA 02135
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E149653 | MA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194811265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 COLBORNE RD",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "02135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 PROSPECT ST",
"city": "BELMONT",
"state": "MA",
"postal_code": "024782656",
"telephone_number": "617-993-5272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIN",
"first_name": "DENNIS",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "E149653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belmont, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.