DR. PATRICK KIU TAO CHAN


Address: 136 Lincoln St, Boston, MA 02111-2506
Phone: 6174512111

DR. PATRICK KIU TAO CHAN (NPI# 1780722017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780722017
Entity Type Individual
Full Name DR. PATRICK KIU TAO CHAN
Credential D.M.D.
Practice Address 136 Lincoln St
Boston
MA 02111-2506
Practice Telephone 6174512111
Mailing Telephone 6174512111
Enumeration Date 2007-02-01
Last Update Date 2018-04-14
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
049683 NY Dental Providers
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
20034 MA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO 405764200 05

Other Providers PATRICK CHAN

NPI Name Taxonomy Address Enumeration
1881915999 Patrick Chan Pharmacist 3515 Del Mar Heights Rd, San Diego, CA 92130-2122 2010-06-14
1942477971 Patrick Chan Ophthalmology 6401 Holly Ave Ne, Albuquerque, NM 87113-2474 2008-05-08
1588652275 Patrick Door-shang Chan Neurological Surgery 1120 S Main St, Searcy, AR 72143-7319 2005-10-07
1851832059 Patrick Chan Internal Medicine 2051 Marengo St, Los Angeles, CA 90033 2017-03-20
1346667698 Patrick Michael Chan Pharmacist 2345 Fair Oaks Blvd, Sacramento, CA 95825-4708 2014-03-25
1649534421 Patrick G. Chan Thoracic Surgery (Cardiothoracic Vascular Surgery) 200 Lothrop St, Suite 800, Pittsburgh, PA 15213-2536 2012-06-27
1780973594 Patrick S. Chan Anesthesiology 1959 Ne Pacific St, Campus Box 356540, Seattle, WA 98195-6540 2011-04-01
1487631263 Patrick J Chan Specialist 9155 Sw Barnes Rd, Suite 430, Portland, OR 97225-6625 2005-12-22

Office Location

Street Address 136 LINCOLN ST
City BOSTON
State MA
Zip Code 02111-2506

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689271397 Maximilian Richert Counselor 25 Kingston St, 4r, Boston, MA 02111 2020-10-06
1558978957 Tien-hsin Chang Student in an Organized Health Care Education/Training Program 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 2020-09-29
1548883465 Elizabeth Carter Stapleton Dentist Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 2020-05-27
1932729597 Jacob Joseph Kosarchuk Neurological Surgery 800 Washington Street, Proger 7, Boston, MA 02111 2020-04-23
1164051868 Daniele Abela Surgery 860 Washington Street, South Building, 4th Floor, Boston, MA 02111 2020-04-04
1184265258 Jade Orthodontics Dentist 30 Kneeland St, Suite 301, Boston, MA 02111 2019-09-30
1932753639 Loukia Kamille Danaf Student in an Organized Health Care Education/Training Program 1 Kneeland Street, Tufts University School of Dental Me, Boston, MA 02111 2019-07-31
1033771944 Faris Khalifa Student in an Organized Health Care Education/Training Program 1 Kneeland Street, 5th Floor, Boston, MA 02111 2019-07-01
1609437276 Blair Hanna Ray Farbstein Student in an Organized Health Care Education/Training Program 1 Kneeland Street, 3rd Floor, Boston, MA 02111 2019-06-25
1821658709 Jennifer Drummond Internal Medicine 800 Washington St. Gme Office, Boston, MA 02111 2019-06-13
Find all providers in zip 02111

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528592029 Jaegak Kim Dentist 850 Harrison Ave Fl 6, Boston, MA 02118-4001 2017-04-12
1053750893 Allan Wun Dentist 1 Kneeland St., 5th Floor/ Dhs 503, Boston, MA 02111 2013-06-14
1609189018 Stavros Oikonomou Dentist 660 Washington St Apt 25g, Boston, MA 02111-3243 2010-07-15
1073825352 Cristobal Alberto Quevedo Dentist 761 Harrison Ave Apt 205, Boston, MA 02118-2362 2010-07-02
1740591080 Ahmad Ali Alshadwi Dentist 850 Harrison Ave Fl Acc5, Boston Medical Center Oral Surgery Department, Boston, MA 02118-4001 2010-07-01
1437390481 Behzad Mostoufi Dentist 820 Harrison Ave # Acc5, Boston, MA 02118-2905 2009-03-19
1396991089 Jennifer E. Smith-williams, D.m.d. Dentist 575 Boylston St Fl 5, Boston, MA 02116-3607 2008-08-13
1497923791 Mario S Lucca Dentist 185 Dartmouth St Ste 403, Boston, MA 02116-5883 2008-02-20
1225228422 Steven John Scrivani Dentist One Kneeland Street, Suite 601, Boston, MA 02111 2007-07-25
1215138672 Constantinos Laskarides Dentist 1 Kneeland St Rm 503, Boston, MA 02111-1527 2007-05-31
Find all providers in BOSTON

Competitor

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City BOSTON
Zip Code 02111

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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