Nan Chen, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN1857240 Issued in MA

Practice address

15 Columbia Rd Ste 2
Pembroke, MA 02359-1967

Phone

(781) 499-5438

Fax

(508) 872-5483

NPI assigned

Jun 2, 2016

Last updated

Mar 22, 2021By the provider in NPPES

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

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Perikymata, PLLC

  dba Columbia Road Dental

  • General Practice Dentistry
  • Pembroke, MA
  • NPI 1376180828
  NPD Authorized official
• Sham Tang and Tam PC

  dba Smilage Dental Center

  • Clinic/Center
  • Framingham, MA
  • NPI 1942354394
  NPD (past)

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1912355744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 YOUNG ST APT 9",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021711983",
            "telephone_number": "347-503-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 COLUMBIA RD STE 2",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023591967",
            "telephone_number": "781-499-5438",
            "fax_number": "508-872-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "NAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-02",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Cellini, FNP-C
• Center for Behavioral Health,LLC
• Tammy Rocha Cetrino, LICSW
• Aniket Chakrabarti, M.D.
• Charm Medical Supply, Inc.
• Robert S Clark, DDS
• Jennifer Cleary, MSW, LCSW
• Lauren Cleary
• Jessica Clement
• Tai Coburn

• Dentist in Pembroke, MA
• Providers in Pembroke, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.

Verify at the official NPI Registry.