DR. KIMBERLEY MARIE CHAN DMD
NPI 1891040663
Dentist - General Practice in Boston, MA

Active since July 18, 2012
100 E NEWTON ST, 7TH FLOOR-ROOM G716, BOSTON, MA 02118(617) 638-4636 Get Directions Write a Review

NPPES record last updated: July 18, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kimberley Marie Chan Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIMBERLEY MARIE CHAN DMD (NPI 1891040663) is an individual general practice provider in Boston, Massachusetts, licensed in Massachusetts (DL 11586) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1891040663
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KIMBERLEY MARIE CHANCredential: DMD
Location Address100 E NEWTON ST, 7TH FLOOR-ROOM G716Boston, MA 02118-2308
Mailing Address822 Beacon St Apt 4Boston, MA 02215-3151 · (617) 969-6248
Sole ProprietorNo
Enumeration DateJuly 18, 2012
NPI 1891040663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MA · DL 11586
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
100 E NEWTON ST, Boston, MA 02118

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
100 E NEWTON ST
BOSTON, MA 02118
Dentist (Prosthodontics)
100 E NEWTON ST, G-716
BOSTON, MA 02118
Dentist (General Practice)
100 E NEWTON ST, ROOM G401
BOSTON, MA 02118
Dentist (Oral and Maxillofacial Surgery)
100 E NEWTON ST, G305
BOSTON, MA 02118
Dentist (Periodontics)
100 E NEWTON ST, 107
BOSTON, MA 02118
Dentist (Periodontics)
100 E NEWTON ST
BOSTON, MA 02118
Dentist (Prosthodontics)
100 E NEWTON ST, RM G-401
BOSTON, MA 02118
Student in an Organized Health Care Education/Training Program
100 E NEWTON ST
BOSTON, MA 02118

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberley Chan's NPI number?

The NPI number for Kimberley Chan is 1891040663. It was assigned to this individual provider in the NPPES registry on July 18, 2012.

Where is Kimberley Chan located?

Kimberley Chan practices at 100 E Newton St 7th Floor-Room G716, Boston, MA 02118. The listed phone number is (617) 638-4636.

What is Kimberley Chan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kimberley Chan was last updated on July 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.