Christopher Minn, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE61011577 Issued in WA

Practice address

635 Albany Street
Boston, MA 02118

Phone

(914) 874-7075

NPI assigned

Nov 13, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1861037863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 TANGLEWOOD RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105834640",
            "telephone_number": "914-874-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 ALBANY STREET",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118",
            "telephone_number": "914-874-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINN",
        "first_name": "CHRISTOPHER",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE61011577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DENTIST LICENSE CREDENTIAL NUMBER",
            "identifier": "DE61011577",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prabhjot Minhas
• Charles Mininger
• Evelyn Eleni Minis, MD
• Sean Augustine Minjares, M.D.
• Alissa Minkovsky, M.D./PH.D.
• Nithya Minnah, DMD, MMSC
• Mari Mino Kenudson, MD
• Noah Austin Minor, MD
• Genevieve Marie Minori
• Nakira Minot Minot

• General Practice Dentistry in Boston, MA
• Providers in Boston, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.