NPIMap

Organization Active NPI

Chelian Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Danvers, MA
National Provider Identifier
1215482047
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
3625 Issued in MA
Legal business name
CHELIAN ORTHODONTICS
Practice address
36 Conant St
Danvers, MA 01923-2954
Phone
(978) 774-8266
NPI assigned
Aug 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Authorized official

Name
Dr. Suren Chelian, D.M.D.NPI 1194911289
Title
Practice Owner
Phone
(603) 882-6100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 3625 MA Primary

Addresses

Primary practice location

36 Conant St
Danvers, MA 01923-2954

Mailing address

36 Conant St
Danvers, MA 01923-2954
Phone (978) 774-8266

Other identifiers 1

IdentifierTypeStateIssuer
11-94911289MedicaidNH

National Provider Directory

National Provider Directory
Tax ID family
Chelian Orthodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1215482047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 CONANT ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232954",
            "telephone_number": "978-774-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 CONANT ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232954",
            "telephone_number": "978-774-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELIAN ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "CHELIAN",
        "authorized_official_first_name": "SUREN",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "603-882-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "3625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11-94911289",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.