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Deactivated NPI 1174871115 Deactivated / Inactive NPI Male Practitioner

King Chuen Chan , LMT

Specialist • Boston, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, King Chan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 23, 2012
NPI Deactivation Date June 09, 2021
Total Practice Duration ~9 Years of Practice (2012 – 2021)

Professional Overview & Biography Verified Profile Summary

King Chan, LMT was a registered Specialist practicing in Boston, MA. Throughout an active medical career spanning 9 years, King Chan provided care at the practice location at 76 SUMMER ST STE 220 until profile deactivation on 2021-06-09.

Practice Location & Contact Primary Location

Practice Address

76 Summer St Ste 220

Boston, MA 021101273

Telephone 6174166798
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Boston, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.2 Yrs
State Avg: 37.9 Yrs
Regional Practice Density
81 Specialists

Practicing in Boston, MA (1181 Statewide)

Telehealth Adoption Rate
6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MA LMT 6505

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 09, 2021

Record deactivated on June 09, 2021

NPI Profile Active August 23, 2012

NPI status registered as active in NPPES database

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Updated Practice Location August 23, 2012

Registered at 76 SUMMER ST STE 220, BOSTON, MA 021101273 (Tel: 6174166798)

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Updated Business Mailing Address August 23, 2012

Registered at 168A FISHER AVE, BOSTON, MA 021203321 (Tel: 6174166798)

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Provider Name / Credentials Updated August 23, 2012

Recorded as KING CHAN, L.M.T.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2012

Specialist (License #LMT 6505 in MA)

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Initial NPI Registration & Enumeration August 23, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174871115
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2012
Last Update: August 23, 2012
Deactivation Date: June 09, 2021

Mailing Address

168a Fisher Ave

Boston, MA 021203321

Phone: 6174166798

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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