Organization Active NPI

JJC Dental PLLC

  • General Practice Dentistry
  • Hingham, MA
National Provider Identifier
1790228971
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN21570 Issued in MA
Legal business name
JJC DENTAL PLLC
Practice address
350 Lincoln St Ste 1106
Hingham, MA 02043-1579
Phone
(781) 749-7888
Fax
(781) 749-9888
NPI assigned
Nov 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Authorized official

Name
Dr. Jason J Chen, D.M.D.
Title
Owner
Phone
(617) 823-3688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DN21570 MA Primary

Addresses

Primary practice location

350 Lincoln St Ste 1106
Hingham, MA 02043-1579

Mailing address

350 Lincoln St Ste 1106
Hingham, MA 02043-1579
Phone (781) 749-7888

Other identifiers 1

IdentifierTypeStateIssuer
110078271AMedicaidMA

Other names 1

  • Care Smile Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
JJC Dental PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1790228971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 LINCOLN ST STE 1106",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020431579",
            "telephone_number": "781-749-7888",
            "fax_number": "781-749-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 LINCOLN ST STE 1106",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020431579",
            "telephone_number": "781-749-7888",
            "fax_number": "781-749-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJC DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-823-3688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN21570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110078271A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Smile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.

Verify at the official NPI Registry.