Organization Active NPI

Chandler Dental PC

  • Prosthodontics
  • Worcester, MA
National Provider Identifier
1710043385
Registry record updated Feb 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
CHANDLER DENTAL PC
Practice address
372 Chandler St
Suite 10
Worcester, MA 01602-3300
Phone
(508) 754-5226
Fax
(508) 754-5228
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2008

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

Authorized official

Name
Dr. Sir Hao Foo, D.D.S., M.S.NPI 1306963111
Title
Treasurer & Secretary
Phone
(508) 754-5226

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

372 Chandler St
Suite 10
Worcester, MA 01602-3300

Mailing address

372 Chandler St
Suite 10
Worcester, MA 01602-3300
Phone (508) 754-5226

Other identifiers 1

IdentifierTypeStateIssuer
9754610MedicaidMA

National Provider Directory

National Provider Directory

Locations

372 Chandler St
Ste 10
Worcester, MA 01602
Phone (508) 754-5226

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203811200000",
    "number": "1710043385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 CHANDLER ST",
            "address_2": "SUITE 10",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016023300",
            "telephone_number": "508-754-5226",
            "fax_number": "508-754-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 CHANDLER ST",
            "address_2": "SUITE 10",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016023300",
            "telephone_number": "508-754-5226",
            "fax_number": "508-754-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDLER DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-02-24",
        "status": "A",
        "authorized_official_last_name": "FOO",
        "authorized_official_first_name": "SIR",
        "authorized_official_middle_name": "HAO",
        "authorized_official_title_or_position": "TREASURER & SECRETARY",
        "authorized_official_telephone_number": "508-754-5226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9754610",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2008; 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.