NPIMap

Organization Active NPI

Assembly Dental PC

  • Prosthodontics
  • Somerville, MA
National Provider Identifier
1982185880
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DN1855564 Issued in MA
Legal business name
ASSEMBLY DENTAL PC
Practice address
460 Foley St
Somerville, MA 02145-1213
Phone
(617) 901-0693
NPI assigned
Aug 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Authorized official

Name
Dr. Chan Wook Cheong, DMDNPI 1568779510
Title
President
Phone
(617) 901-0693

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X DN1855564 MA Primary

Addresses

Primary practice location

460 Foley St
Somerville, MA 02145-1213

Mailing address

375 Canal St PH 210
Somerville, MA 02145-4346
Phone (617) 901-0693

National Provider Directory

National Provider Directory

Locations

460 Foley St
Somerville, MA 02145
Phone (617) 829-9000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535414400000",
    "number": "1982185880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 CANAL ST PH 210",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021454346",
            "telephone_number": "617-901-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 FOLEY ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021451213",
            "telephone_number": "617-901-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSEMBLY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A",
        "authorized_official_last_name": "CHEONG",
        "authorized_official_first_name": "CHAN",
        "authorized_official_middle_name": "WOOK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-901-0693",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "DN1855564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.