Active NPI
Nathaniel Chan, DMD
- Dentist
- Norwell, MA
National Provider Identifier
1962536805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 20385
- Practice address
- 353 Washington St
Norwell, MA 02061-1933 - Phone
- (781) 545-5102
- Fax
- (617) 471-8181
- NPI assigned
- Mar 15, 2007
- 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 | 20385 | MA | Primary |
Addresses
Primary practice location
353 Washington St
Norwell, MA 02061-1933
Mailing address
60 Magnolia Way
Canton, MA 02021-1161
Phone (617) 792-4784
Other practice location 1
1250 Hancock St Ste 123S
Quincy Center Dental Associates
Quincy, MA 02169-4335
Phone (617) 471-8161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20385 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nathaniel Chan DMD PC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- General Practice Dentistry
- Scituate, MA
- NPI 1194926543
-
dba Advanced Dental Arts
- General Practice Dentistry
- Scituate, MA
- NPI 1437452109
-
dba Advanced Dental Arts
- General Practice Dentistry
- Norwell, MA
- NPI 1720525470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583712000000",
"number": "1962536805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 MAGNOLIA WAY",
"city": "CANTON",
"state": "MA",
"postal_code": "020211161",
"telephone_number": "617-792-4784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "353 WASHINGTON ST",
"city": "NORWELL",
"state": "MA",
"postal_code": "020611933",
"telephone_number": "781-545-5102",
"fax_number": "617-471-8181"
}
],
"practiceLocations": [
{
"address_1": "1250 Hancock St Ste 123S",
"address_2": "Quincy Center Dental Associates",
"address_purpose": "LOCATION",
"city": "Quincy",
"state": "MA",
"postal_code": "021694335",
"country_code": "US",
"telephone_number": "617-471-8161",
"fax_number": "617-471-8181",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAN",
"first_name": "NATHANIEL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2020-03-09",
"certification_date": "2020-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "20385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.