NPIMap

Organization Active NPI

Nathaniel Chan DMD PC

  • General Practice Dentistry
  • Quincy, MA
National Provider Identifier
1346543014
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20385 Issued in MA
Legal business name
NATHANIEL CHAN DMD PC
Practice address
1250 Hancock St Ste 123S
Quincy Center Dental Associates
Quincy, MA 02169-4335
Phone
(617) 471-8161
NPI assigned
Dec 17, 2010
Organization subpart
Yes
Parent organization
NATHANIEL CHAN DMD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Authorized official

Name
Nathaniel ChanNPI 1962536805
Title
President
Phone
(617) 471-8161

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 20385 MA Primary

Addresses

Primary practice location

1250 Hancock St Ste 123S
Quincy Center Dental Associates
Quincy, MA 02169-4335

Mailing address

353 Washington St
Norwell, MA 02061-1933
Phone (781) 545-5102

Other names 2

  • Advanced Dental Arts Doing business as
  • Quincy Center Dental Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nathaniel Chan DMD PC3 organizations share this tax ID, including this one
Part of
Nathaniel Chan DMD PC

Other organizations with this tax ID 2

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

Locations

1250 Hancock St
Ste 123S
Quincy, MA 02169
Phone (617) 471-8161

Practitioners & affiliated clinicians

Practitioners 4

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": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1346543014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 WASHINGTON ST",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611933",
            "telephone_number": "781-545-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 HANCOCK ST STE 123S",
            "address_2": "QUINCY CENTER DENTAL ASSOCIATES",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694335",
            "telephone_number": "617-471-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHANIEL CHAN DMD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATHANIEL CHAN DMD PC",
        "enumeration_date": "2010-12-17",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-471-8161"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Quincy Center Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.