NPIMap

Organization Active NPI

Jieun Cha PC

  • Dentist
  • Cambridge, MA
National Provider Identifier
1801476403
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JIEUN CHA PC
Practice address
126 Inman St
Cambridge, MA 02139-1206
Phone
(617) 492-8210
NPI assigned
Apr 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Authorized official

Name
Jieun Cha, DMDNPI 1073061743
Title
Owner
Phone
(617) 492-8210

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

126 Inman St
Cambridge, MA 02139-1206

Mailing address

126 Inman St
Cambridge, MA 02139-1206
Phone (617) 492-8210

National Provider Directory

National Provider Directory
Tax ID family
Jieun Cha PC2 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.

Locations

126 Inman St
Cambridge, MA 02139
Phone (617) 492-8210

Practitioners & affiliated clinicians

Practitioners 4

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": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1801476403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 INMAN ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021391206",
            "telephone_number": "617-492-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 INMAN ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021391206",
            "telephone_number": "617-492-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIEUN CHA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "CHA",
        "authorized_official_first_name": "JIEUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-492-8210",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.