NPIMap

Organization Active NPI

Kathleen Chan DDS, MMSC & Ivy Chen DDS, MMSC, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Andover, MA
National Provider Identifier
1649450552
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
20548 Issued in MA
Legal business name
KATHLEEN CHAN DDS, MMSC & IVY CHEN DDS, MMSC, PC
Practice address
16 N Main St
Suite 200
Andover, MA 01810-6518
Phone
(978) 475-2222
Fax
(978) 475-2290
NPI assigned
Nov 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Authorized official

Name
Dr. Ivy Chen, DDS, MMSC
Title
President
Phone
(978) 475-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 20548 MA Primary

Addresses

Primary practice location

16 N Main St
Suite 200
Andover, MA 01810-6518

Mailing address

16 N Main St
Suite 200
Andover, MA 01810-6518
Phone (978) 475-2222

National Provider Directory

National Provider Directory

Locations

16 N Main St
Ste 200
Andover, MA 01810
Phone (978) 475-2222

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1649450552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 N MAIN ST",
            "address_2": "SUITE 200",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018106518",
            "telephone_number": "978-475-2222",
            "fax_number": "978-475-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 N MAIN ST",
            "address_2": "SUITE 200",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018106518",
            "telephone_number": "978-475-2222",
            "fax_number": "978-475-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN CHAN DDS, MMSC & IVY CHEN DDS, MMSC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "IVY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-475-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MMSC"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "20548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.