Individual provider Active NPI

CHI Yun Sham, D.M.D.

  • General Practice Dentistry
  • Framingham, MA
National Provider Identifier
1780769299
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17183 Issued in MA
Practice address
463 Worcester Rd
Suite 201
Framingham, MA 01701-5354
Phone
(508) 820-7792
NPI assigned
Oct 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 17183 MA Primary

Addresses

Primary practice location

463 Worcester Rd
Suite 201
Framingham, MA 01701-5354

Mailing address

463 Worcester Rd
Suite 201
Framingham, MA 01701-5354
Phone (508) 820-7792

Other names 1

  • Dr. CHI-Yun Sham Professional name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150626000570 MA Order and Referring Only - DentistPractitioner - Dentist 5698087088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17183MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sham Tang and Tam PC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780769299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 WORCESTER RD",
            "address_2": "SUITE 201",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017015354",
            "telephone_number": "508-820-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 WORCESTER RD",
            "address_2": "SUITE 201",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017015354",
            "telephone_number": "508-820-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAM",
        "first_name": "CHI",
        "middle_name": "YUN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "17183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHI-YUN",
            "last_name": "SHAM",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.