Individual provider Active NPI

Chandler D Charette, DO

  • Family Medicine Physician
  • Acton, MA
National Provider Identifier
1700345980
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
294840 Issued in MA
Practice address
529 Main St Ste B
Acton, MA 01720-3965
Phone
(978) 635-1800
NPI assigned
Mar 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 294840 MA Primary

Addresses

Primary practice location

529 Main St Ste B
Acton, MA 01720-3965

Mailing address

10 Adams St
N Chelmsford, MA 01863-1780
Phone (978) 251-3159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230511003301 MA Practitioner - Family Practice 0446586762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Liberty Univ College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chelmsford Family Practice, PCGroup PAC ID 7113997396, 11 clinicians

Practice addresses (Care Compare)

10 Adams St
North Chelmsford, MA 01863-1780
Phone (978) 251-3159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Chelmsford Family Practice, PC Family Medicine CurrentSince Feb 14, 2025 Accepting new patients

Locations

10 Adams St
North Chelmsford, MA 01863
Phone (978) 251-3159

Interoperability endpoints

  • Direct secure messaging: ccharette134013@tuftsmedicine.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1700345980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ADAMS ST",
            "city": "N CHELMSFORD",
            "state": "MA",
            "postal_code": "018631780",
            "telephone_number": "978-251-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 MAIN ST STE B",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203965",
            "telephone_number": "978-635-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARETTE",
        "first_name": "CHANDLER",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "294840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acton, MA

Sources for this page

Verify at the official NPI Registry.