Active NPI
Chad Speirs, DMD
- Dentist
- Boston, MA
National Provider Identifier
1851735880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1856162
- Practice address
- 128A Tremont St FL 2
Boston, MA 02108-4716 - Phone
- (617) 432-4259
- NPI assigned
- Apr 21, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1856162 | MA | Primary |
Addresses
Primary practice location
128A Tremont St FL 2
Boston, MA 02108-4716
Mailing address
88 Kingston St Unit 6B
Boston, MA 02111-2225
Phone (801) 310-0797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161013000329 | MI | Order and Referring Only - Other (Physician) | 9032339122 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1856162 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endodontic Associates of Michigan PLLC | 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 and National Provider Directory roles.
-
- Endodontics
- Clinton TWP, MI
- NPI 1891742607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366502400000",
"number": "1851735880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 KINGSTON ST UNIT 6B",
"city": "BOSTON",
"state": "MA",
"postal_code": "021112225",
"telephone_number": "801-310-0797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128A TREMONT ST FL 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "021084716",
"telephone_number": "617-432-4259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEIRS",
"first_name": "CHAD",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-21",
"last_updated": "2013-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1856162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.