NPIMap

Organization Active NPI

Charlestown Dental Care

  • Dental Clinic/Center
  • Charlestown, MA
National Provider Identifier
1316647662
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CHARLESTOWN DENTAL CARE
Practice address
1 Thompson SQ Ste 203
Charlestown, MA 02129-3328
Phone
(203) 243-9237
NPI assigned
Mar 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Authorized official

Name
Dr. Kristopher A Yen, DMDNPI 1891355814
Title
Dr
Phone
(203) 243-9237

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1 Thompson SQ Ste 203
Charlestown, MA 02129-3328

Mailing address

1 Thompson SQ Ste 203
Charlestown, MA 02129-3328
Phone (203) 243-9237

National Provider Directory

National Provider Directory

Locations

1 Thompson Sq
Ste 203
Charlestown, MA 02129
Phone (203) 243-9237

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1316647662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 THOMPSON SQ STE 203",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021293328",
            "telephone_number": "203-243-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 THOMPSON SQ STE 203",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021293328",
            "telephone_number": "203-243-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTOWN DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "YEN",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "203-243-9237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlestown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.