Active NPI
David C Chin, M.D.
- Internal Medicine Physician
- Weston, MA
National Provider Identifier
1962546655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 42108
- Practice address
- 87 Sylvan LN
Weston, MA 02493-1027 - Phone
- (781) 431-0473
- NPI assigned
- Feb 16, 2007
- Last updated
- Aug 7, 2022
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 42108 | MA | Primary |
Addresses
Primary practice location
87 Sylvan LN
Weston, MA 02493-1027
Mailing address
87 Sylvan LN
Weston, MA 02493-1027
Phone (781) 431-0473
Other practice location 1
Pricewaterhouse Coopers
125 High Street
Boston, MA 02110
Phone (617) 530-4381
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42108 | MA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659830400000",
"number": "1962546655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 SYLVAN LN",
"city": "WESTON",
"state": "MA",
"postal_code": "024931027",
"telephone_number": "781-431-0473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 SYLVAN LN",
"city": "WESTON",
"state": "MA",
"postal_code": "024931027",
"telephone_number": "781-431-0473"
}
],
"practiceLocations": [
{
"address_1": "Pricewaterhouse Coopers",
"address_2": "125 High Street",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "02110",
"country_code": "US",
"telephone_number": "617-530-4381",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHIN",
"first_name": "DAVID",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-16",
"last_updated": "2022-08-07",
"certification_date": "2022-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "42108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.