NPIMap

Organization Active NPI

Nathaniel Chan DMD PC

Doing business as Advanced Dental Arts

  • General Practice Dentistry
  • Scituate, MA
National Provider Identifier
1437452109
Registry record updated Mar 8, 2020
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
Doing business as
Advanced Dental Arts
Advanced Dental Arts of Scituate
Practice address
56 New Driftway
Advanced Dental Arts
Scituate, MA 02066-4533
Phone
(781) 545-5102
NPI assigned
Dec 17, 2010
Last updated
Mar 8, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
NATHANIEL CHAN DMD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 8, 2020

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
(781) 545-5102

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
General Practice Dentistry 1223G0001X 20385 MA Primary

Addresses

Primary practice location

56 New Driftway
Advanced Dental Arts
Scituate, MA 02066-4533

Mailing address

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

Other names 2

  • Advanced Dental Arts Doing business as
  • Advanced Dental Arts of Scituate 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.

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": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583625600000",
    "number": "1437452109",
    "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": "56 NEW DRIFTWAY",
            "address_2": "ADVANCED DENTAL ARTS",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020664533",
            "telephone_number": "781-545-5102"
        }
    ],
    "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": "2020-03-08",
        "certification_date": "2020-03-08",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-545-5102"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_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": "Advanced Dental Arts of Scituate",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scituate, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2020; 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.