Active NPI
Uy Dinh Dam, FNP
- Family Nurse Practitioner
- Dorchester, MA
National Provider Identifier
1669921318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2270237
- Practice address
- 1353 Dorchester Ave
Dorchester, MA 02122-2932 - Phone
- (617) 740-2323
- NPI assigned
- Sep 22, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN2270237 | MA | Primary |
Addresses
Primary practice location
1353 Dorchester Ave
Dorchester, MA 02122-2932
Mailing address
27 Prospect Ave
Randolph, MA 02368-4948
Phone (617) 763-1833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2270237 | MA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474502400000",
"number": "1669921318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 PROSPECT AVE",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023684948",
"telephone_number": "617-763-1833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1353 DORCHESTER AVE",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021222932",
"telephone_number": "617-740-2323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAM",
"first_name": "UY",
"middle_name": "DINH",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-22",
"last_updated": "2016-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2270237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.