Individual provider Active NPI

Alice Chan, DMD

  • General Practice Dentistry
  • Quincy, MA
National Provider Identifier
1477497063
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN10001273 Issued in MA
Practice address
88 Holmes St
Quincy, MA 02171-2431
Phone
(617) 318-3200
Fax
(617) 457-6600
NPI assigned
Apr 15, 2026
Last updated
Jun 25, 2026By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN10001273 MA Primary

Addresses

Primary practice location

88 Holmes St
Quincy, MA 02171-2431

Mailing address

255 Hancock St Apt 2627
Quincy, MA 02171-2578
Phone (321) 750-6824

Other practice location 1

145 South St
Boston, MA 02111-2826
Phone (617) 521-6750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1776211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1477497063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 HANCOCK ST APT 2627",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021712578",
            "telephone_number": "321-750-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 HOLMES ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021712431",
            "telephone_number": "617-318-3200",
            "fax_number": "617-457-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 South St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021112826",
            "country_code": "US",
            "telephone_number": "617-521-6750",
            "fax_number": "617-457-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "ALICE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-04-15",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN10001273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.