Everett Chelsea Family Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

EVERETT CHELSEA FAMILY DENTAL

Practice address

100 Everett Ave Ste 10
Chelsea, MA 02150-2374

Phone

(617) 389-2112

NPI assigned

Aug 22, 2018

Organization subpart

No

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

Authorized official

Name

Chris Thach

Title

General Manager

Phone

(617) 389-2112

Specialties & licenses 1

Addresses

Other names 1

• Everett Chelsea Family Dental Doing business as

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1699256263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EVERETT AVE STE 10",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021502374",
            "telephone_number": "617-389-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EVERETT AVE STE 10",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021502374",
            "telephone_number": "617-389-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERETT CHELSEA FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "THACH",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "617-389-2112"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Everett Chelsea Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luis Enrique Esquivel, M.A.
• Emilia Evans, CNP
• Linda Kennedy Evans, LICSW
• Lori Ann Evans
• Paisley Cascade Evans
• Catherine Evlog, NP
• Ian Ewing-Chow
• Excel Academy Charter School-Chelsea
• Excel Dental of Chelsea LLC
• Lisa M Ezell, B.A

• Dental Clinic/Center in Chelsea, MA
• Providers in Chelsea, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.