Individual provider Active NPI

Michelle Chen, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Burlington, MA
National Provider Identifier
1376163097
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN10001243 Issued in MA
Practice address
77 S Bedford St Ste 100
Burlington, MA 01803-5217
Phone
(781) 272-0800
NPI assigned
Apr 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X DN10001243 MA Primary

Addresses

Primary practice location

77 S Bedford St Ste 100
Burlington, MA 01803-5217

Mailing address

77 S Bedford St Ste 100
Burlington, MA 01803-5217
Phone (781) 272-0800

Other practice location 1

625 Mount Auburn St Ste 209
Cambridge, MA 02138-4555
Phone (617) 468-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200620000042 NC Order and Referring Only - DentistPractitioner - Dentist 3375965379

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11853NCMDVeterinarian

Practice roles

OrganizationSpecialtyStatusNew patients
Burlington Oral and Facial Surgery Center LLC Oral and Maxillofacial Surgery PastSince Jun 1, 2016 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mchen488743@directhisp.wakemed.org
  • Direct secure messaging: mchen636215@direct.unc.nchie.net

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1376163097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 S BEDFORD ST STE 100",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018035217",
            "telephone_number": "781-272-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 S BEDFORD ST STE 100",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018035217",
            "telephone_number": "781-272-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Mount Auburn St Ste 209",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "021384555",
            "country_code": "US",
            "telephone_number": "617-468-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "MICHELLE",
        "credential": "DMD, MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-22",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "DN10001243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

Verify at the official NPI Registry.