DR. ELIZABETH ANN CHRISTOPHERSON (NPI# 1295934545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295934545 |
Entity Type | Individual |
Full Name | DR. ELIZABETH ANN CHRISTOPHERSON |
Credential | D.D.S., M,S, |
Practice Address |
3875 Burton St Se Grand Rapids MI 49546-5816 |
Practice Telephone | 6169497510 |
Mailing Telephone | 6169497510 |
Enumeration Date | 2007-07-17 |
Last Update Date | 2007-07-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
2901018956 | MI | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053570580 | Elizabeth A Christopherson | Dietetic Technician, Registered | 6500 Excelsior Blvd, St Louis Park, MN 55426 | 2008-06-09 |
Street Address |
3875 BURTON ST SE |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49546-5816 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821119918 | Charles Caldwell | Dentist | 3875 Burton St Se, Grand Rapids, MI 49546-5816 | 2007-04-03 |
1922407584 | Christopherson & Caldwell Orthodontics | Dentist | 3875 Burton St Se, Grand Rapids, MI 49546-5816 | 2014-08-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
Find all providers in zip 49546 |
Taxonomy Code | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932365020 | Gerard Paul Bosscher Jr. | Dentist | 4353 Sawkaw, N.e., Grand Rapids, MI 49525 | 2008-07-29 |
1619180148 | Laura L. Fogle | Dentist | 933three Mile Rd., Nw Ste 102, Grand Rapids, MI 49544-8216 | 2007-05-08 |
1235341827 | Paul J Karl | Dentist | 3989 Cascade Road, Grand Rapids, MI 49546 | 2007-05-04 |
1053523548 | Laura L. Fogle, D.d.s., M.s., P.C. | Dentist | 890 Three Mile Rd., Nw, Grand Rapids, MI 49544-8216 | 2007-05-04 |
1396967287 | Dennis Edward Winn II | Dentist | 1179 E Paris Ave Se Ste 220, Grand Rapids, MI 49546-3682 | 2007-05-02 |
1821119918 | Charles Caldwell | Dentist | 3875 Burton St Se, Grand Rapids, MI 49546-5816 | 2007-04-03 |
1174667950 | David J. Huyser | Dentist | 739 E Beltline Ave Ne, Grand Rapids, MI 49525-6045 | 2007-02-16 |
1205996121 | Thomas Edward Herremans | Dentist | 4353 Sawkaw Ne, Grand Rapids, MI 49525 | 2006-12-11 |
1962586792 | Paul W O'grady | Dentist | 4027 Lake Dr Se, Suite 130, Grand Rapids, MI 49546-8812 | 2006-10-25 |
1255414025 | Peder Aiton Gaalaas | Dentist | 504 Nw First Ave, Grand Rapids, MN 55744 | 2006-10-23 |
Find all providers in GRAND RAPIDS |
City | GRAND RAPIDS |
Zip Code | 49546 |
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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.