DR. BRIAN ALLEN CHRISTOPHERSON (NPI# 1225115942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225115942 |
Entity Type | Individual |
Full Name | DR. BRIAN ALLEN CHRISTOPHERSON |
Credential | DDS |
Practice Address |
1635 N Greenfield Rd Ste 119 Mesa AZ 85205-4010 |
Mailing Address |
1635 N Greenfield Rd Bldg 5 Ste 119 Mesa AZ 85205-4005 |
Practice Telephone | 4807331778 |
Practice Fax Number | 4809624222 |
Mailing Telephone | 4807331778 |
Mailing Fax Number | 4809624222 |
Enumeration Date | 2006-11-01 |
Last Update Date | 2010-09-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
D6355 | AZ | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316163496 | Brian S Christopherson | Optometrist | 308 N Airline Hwy, Gonzales, LA 70737-3009 | 2007-04-18 |
Street Address |
1635 N GREENFIELD RD STE 119 |
City | MESA |
State | AZ |
Zip Code | 85205-4010 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083130199 | Rose Campbell | Technician/Technologist | 649 North Orlando, Mesa, AZ 85205 | 2017-08-21 |
1528459781 | Elizabeth Sadler | Nurse Practitioner | 4434 E Brown Rd Ste 102, Mesa, AZ 85205 | 2015-02-10 |
1326444324 | Katherine G Perez | Counselor | 152 N Power Rd Ste 2, Mesa, AZ 85205 | 2014-11-18 |
1831500800 | C.b.o Hearing | Hearing Aid Equipment | 4406 E. Main St, Suite 103, Mesa, AZ 85205 | 2014-05-13 |
1699195107 | Amanda Mcdaniel | Occupational Therapist | 5911 E. Fountain St., Mesa, AZ 85205 | 2014-04-23 |
1952640278 | Medstar Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3932 E Fairfield Cir, Mesa, AZ 85205 | 2013-02-06 |
1245575398 | Fabulous Smiles of Mesa | Dentist | 4434 E. Brown Rd, Ste 104, Mesa, AZ 85205 | 2012-11-30 |
1992087639 | Matthew Robert Millward | Pharmacist | 1935 N. Power Rd, Mesa, AZ 85205 | 2011-09-19 |
1740596733 | Arizona Family & Geriatric Medicine Pllc | Clinic/Center | 5602 E. Main St., Mesa, AZ 85205 | 2010-08-27 |
1295049609 | Thomas Chambers | Podiatrist | 5520 E Main St Ste 2, Mesa, AZ 85205 | 2010-07-28 |
Find all providers in zip 85205 |
Taxonomy Code | 1223E0200X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Endodontics |
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366962995 | Mesa Endodontics Pllc | Dentist | 2855 E Brown Rd Ste 15, Mesa, AZ 85213-4216 | 2017-06-25 |
1255762175 | Stephen L. Walker Dds Pllc | Dentist | 2220 W Southern Ave Ste 102, Mesa, AZ 85202-4706 | 2013-12-03 |
1548534035 | Isaac Edmundson Pratt | Dentist | 1712 S Country Club Dr Ste 104, Mesa, AZ 85210-6046 | 2012-02-29 |
1750655627 | Jonathan Bruce Barnes | Dentist | 1630 S Stapley Dr Ste 208, Mesa, AZ 85204-6659 | 2012-02-23 |
1770898488 | David Glen Mortenson | Dentist | 2208 S Barrington, Mesa, AZ 85209-5328 | 2010-08-18 |
1013126101 | Raymond Mcready Travis Vanderwerf | Dentist | 1630 S Stapley Dr, #208, Mesa, AZ 85204-6657 | 2007-05-22 |
1861544256 | Superstition Springs Endodontics, LLP | Dentist | 6755 E Superstition Springs Blvd Ste 101, Mesa, AZ 85206-4375 | 2007-01-17 |
1255493151 | James D. Hamberlin | Dentist | 1056 S Val Vista Dr Ste 3, Mesa, AZ 85204-5671 | 2006-12-15 |
1720166499 | Stephen L. Walker | Dentist | 2220 W Southern Ave, 102, Mesa, AZ 85202-4772 | 2006-11-01 |
1083668230 | Endodontic Specialists Ltd | Dentist | 2220 W Southern Avenue, Suite #102, Mesa, AZ 85202-4704 | 2006-05-20 |
Find all providers in MESA |
Please comment or provide details below to improve the information on DR. BRIAN ALLEN CHRISTOPHERSON.
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.