Chrysi Boutari, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN10001105 Issued in MA

Practice address

113 Lowell St
Peabody, MA 01960-4257

Phone

(197) 853-2028

NPI assigned

Jul 21, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1497480537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PERKINS ST APT 46",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021304320",
            "telephone_number": "917-679-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 LOWELL ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019604257",
            "telephone_number": "197-853-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUTARI",
        "first_name": "CHRYSI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "DN10001105",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NH",
            "license": "04957",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VT",
            "license": "016.0134113",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Boudreault
• Michelle J Bouley, PA-C
• Derna Bourdeau
• Danielle Bourgeois, MA, CCC-SLP
• Elizabeth Ashley Bousa
• Kristina E Bowers
• William F Boyd, M.D.
• Seth Boynton, LICSW
• Savanna Noel Bradfield
• Scott Braje, PT

• Periodontics in Peabody, MA
• Providers in Peabody, MA by specialty
• Periodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.