NPIMap

Organization Active NPI

Boston Implant Center PC

  • Prosthodontics
  • Somerville, MA
National Provider Identifier
1205525433
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
BOSTON IMPLANT CENTER PC
Practice address
460 Foley St
Somerville, MA 02145-1213
Phone
(617) 655-9000
NPI assigned
May 3, 2023
Last updated
May 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Authorized official

Name
Dr. Chan Cheong, DMDNPI 1568779510
Title
President
Phone
(617) 901-0693

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X NU Primary

Addresses

Primary practice location

460 Foley St
Somerville, MA 02145-1213

Mailing address

460 Foley St
Somerville, MA 02145-1213
Phone (617) 655-9000

National Provider Directory

National Provider Directory

Locations

460 Foley St
Somerville, MA 02145
Phone (617) 829-9000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1205525433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 FOLEY ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021451213",
            "telephone_number": "617-655-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 FOLEY ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021451213",
            "telephone_number": "617-655-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON IMPLANT CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "CHEONG",
        "authorized_official_first_name": "CHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-901-0693",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.