Organization Active NPI

Paul R Chalifoux, DDS, LLC

  • Dentist
  • Wellesley, MA
National Provider Identifier
1235483660
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN14152 Issued in MA
Legal business name
PAUL R CHALIFOUX, DDS, LLC
Practice address
277 Linden St
Wellesley, MA 02482-5900
Phone
(781) 235-1747
NPI assigned
Nov 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Authorized official

Name
Dr. Paul Chalifoux, DDS
Title
Dentist Owner
Phone
(781) 235-1747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN14152 MA Primary

Addresses

Primary practice location

277 Linden St
Wellesley, MA 02482-5900

Mailing address

277 Linden St
Wellesley, MA 02482-5900
Phone (781) 235-1747

National Provider Directory

National Provider Directory

Locations

277 Linden St
Wellesley, MA 02482
Phone (508) 655-5893

NPI Registry JSON

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1235483660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 LINDEN ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024825900",
            "telephone_number": "781-235-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 LINDEN ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024825900",
            "telephone_number": "781-235-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL R CHALIFOUX, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "CHALIFOUX",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "781-235-1747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN14152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.