JOHN R CHRISTENSEN DDS MS MS PA (NPI# 1255546420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255546420 |
| Entity Type | Organization |
| Organization Name | JOHN R CHRISTENSEN DDS MS MS PA |
| Other Organization Name | DURHAM PEDIATRIC DENTISTRY |
| Practice Address |
121 W Woodcroft Pkwy Durham NC 27713-9471 |
| Mailing Address |
121 Woodcroft Parkway Durham NC 27713 |
| Practice Telephone | 9194891543 |
| Practice Fax Number | 9194892892 |
| Mailing Telephone | 9194891543 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2019-10-03 |
| Authorized Official Name | DR. JOHN ROBERT CHRISTENSEN (OWNER, PRESIDENT, DENTIST) |
| Authorized Official Telephone | 9194891543 |
| Authorized Official Credential | DDS, MS, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
5274 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8991556 | 05 |
| Other Name | Type Code |
|---|---|
| Durham Pediatric Dentistry | Doing Business As Name - Organization |
| Durham Pediatric Dentistry & Orthodontics | Doing Business As Name - Organization |
| Street Address |
121 W WOODCROFT PKWY |
| City | DURHAM |
| State | NC |
| Zip Code | 27713-9471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255417846 | John Robert Christensen | Dentist | 121 W Woodcroft Pkwy, Durham, NC 27713-9471 | 2006-10-27 |
| 1487801601 | Richard Dolan Frye Jr. | Dentist | 121 W Woodcroft Pkwy, Durham, NC 27713-9471 | 2008-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
| 1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
| 1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
| 1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
| 1497315352 | Mary Therese Wood | Social Worker | 1822 E Highway 54, Suite 300, Durham, NC 27713 | 2019-06-13 |
| 1720558307 | Kevin D Simmons | Counselor | 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 | 2018-11-27 |
| 1790265585 | Kelli Cryer | Counselor | 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 | 2018-08-21 |
| 1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
| 1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
| 1013401579 | Emily Louise Haller | Counselor | 1822 E Hwy 54, Suite 300, Durham, NC 27713 | 2018-06-19 |
| Find all providers in zip 27713 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679114516 | Lei Cao Dds Phd Pllc | Clinic/Center | 3917 University Dr, Durham, NC 27707-2517 | 2019-10-02 |
| 1407329972 | Nicole J. Messenger, Dmd, Pllc | Clinic/Center | 2206 Page Rd Ste 103, Durham, NC 27703-7711 | 2019-01-08 |
| 1457868259 | Spriggs, D.d.s., P.l.l.c. | Clinic/Center | 5400 S Miami Blvd Ste 116, Durham, NC 27703-8465 | 2018-01-03 |
| 1184137374 | Peter A Tzendzalian, Dds, Pa | Clinic/Center | 3608 Shannon Rd Ste 205, Durham, NC 27707-6344 | 2017-11-09 |
| 1548785306 | Aw Reynolds Jr - Durham Pllc | Clinic/Center | 601 Fayetteville St Ste 100, Durham, NC 27701-3997 | 2017-08-13 |
| 1023530847 | Dr. Christopher M Silvoy Dmd & Assoc., Pllc | Clinic/Center | 4301 Ben Franklin Blvd Ste 101, Durham, NC 27704-2145 | 2017-07-13 |
| 1821213158 | Charles J. Lohr, D.d.s. | Clinic/Center | 3325 Durham Chapel Hill Blvd Ste 210, Durham, NC 27707-2646 | 2007-04-13 |
| 1639779598 | Dr Chandra C. Brown Hines, Dds, Pllc | Clinic/Center | 708 S Duke St, Durham, NC 27701-3119 | 2020-10-29 |
| 1932716552 | Parekh Ali & Associates Pllc | Clinic/Center | 202 W Nc Highway 54 Ste 201, Durham, NC 27713-7564 | 2020-09-28 |
| 1801413802 | Kwame A. Gyampo Dds Pllc | Clinic/Center | 632 Gary St, Durham, NC 27703-2299 | 2020-06-25 |
| Find all providers in DURHAM | ||||
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| 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.