Boston Oral and Facial Surgery, LLC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

BOSTON ORAL AND FACIAL SURGERY, LLC

Practice address

120 Lincoln St
Boston, MA 02111-2506

Phone

(617) 451-2111

NPI assigned

Sep 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Patrick Kiu Tao Chan, D.M.D.NPI 1780722017

Title

Owner

Phone

(617) 451-2111

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patrick Kiu Tao Chan, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Boston, MA
  • NPI 1780722017
  Authorized official Same address or phone

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231545600000",
    "number": "1801046438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LINCOLN ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021112506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LINCOLN ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021112506",
            "telephone_number": "617-451-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON ORAL AND FACIAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-18",
        "last_updated": "2009-01-10",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "KIU TAO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-451-2111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boston Medical Center Corporation (BMC Pharmacy at Shapiro - Specialty)
• Boston Medical Center, Boston
• Boston Medical Supplies
• Boston Naps, LLC
• Boston Nurse Staffing LLC
• Boston Orthopaedic Urgent Care, LLC
• Boston Pain Relief LLC (Boston Pain Relief Massage)
• Boston Pain Relief Massage Therapy (Boston Pain Relief)
• Boston Park Dental Group
• Boston Partners in Care

• Oral and Maxillofacial Surgery Clinic/Center in Boston, MA
• Providers in Boston, MA by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2009; 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.