Individual provider Active NPI

Popo Isa Chui, D.M.D

  • General Practice Dentistry
  • Brookline, MA
National Provider Identifier
1205902798
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20580 Issued in MA
Practice address
1051 Beacon St
Suite 102
Brookline, MA 02446-5685
Phone
(617) 566-2337
Fax
(617) 607-7558
NPI assigned
Nov 27, 2006
Last updated
Feb 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20580 MA Primary

Addresses

Primary practice location

1051 Beacon St
Suite 102
Brookline, MA 02446-5685

Mailing address

676 Pleasant St
Canton, MA 02021-3329
Phone (617) 818-2295

Other names 1

  • Mrs. Popo Isa Chen Other name

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
I20160608002598 MA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5395035091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20580MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Leung Associates PastSince Feb 23, 2025 Accepting new patients
PO PO Isa Chui, D.M.D., LLC General Practice PastSince Feb 23, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1205902798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 PLEASANT ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020213329",
            "telephone_number": "617-818-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 BEACON ST",
            "address_2": "SUITE 102",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465685",
            "telephone_number": "617-566-2337",
            "fax_number": "617-607-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUI",
        "first_name": "POPO",
        "middle_name": "ISA",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "POPO",
            "last_name": "CHEN",
            "middle_name": "ISA",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.