Active NPI
Christina Brown
- Periodontics
- Chelmsford, MA
National Provider Identifier
1881253722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DN1858446
- Practice address
- 18 North Rd
Chelmsford, MA 01824-2736 - Phone
- (978) 256-3301
- NPI assigned
- Jun 12, 2019
- Last updated
- Oct 26, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DN1858446 | MA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
18 North Rd
Chelmsford, MA 01824-2736
Mailing address
59 Bay State Rd
Belmont, MA 02478-2240
Other practice location 1
1 Kneeland St
Boston, MA 02111-1527
Phone (617) 636-6828
Other practice location 2
41 State Rd
North Dartmouth, MA 02747-3307
Phone (508) 993-9115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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 |
|---|---|---|---|---|
| I20191129000066 | MA | Order and Referring Only - Dentist | 3971936246 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1858446 | MA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666742400000",
"number": "1881253722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 BAY STATE RD",
"city": "BELMONT",
"state": "MA",
"postal_code": "024782240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 NORTH RD",
"city": "CHELMSFORD",
"state": "MA",
"postal_code": "018242736",
"telephone_number": "978-256-3301"
}
],
"practiceLocations": [
{
"address_1": "1 Kneeland St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021111527",
"country_code": "US",
"telephone_number": "617-636-6828",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "41 State Rd",
"address_purpose": "LOCATION",
"city": "North Dartmouth",
"state": "MA",
"postal_code": "027473307",
"country_code": "US",
"telephone_number": "508-993-9115",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "CHRISTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-12",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MA",
"license": "DN1858446",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chelmsford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.