NPIMap

Organization Active NPI

Christensen,Christensen & Freeseman,PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Waterloo, IA
National Provider Identifier
1003015991
Registry record updated Feb 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
CHRISTENSEN,CHRISTENSEN & FREESEMAN,PC
Practice address
847 W 4TH St
Waterloo, IA 50702-2141
Phone
(319) 234-4486
Fax
(319) 232-4913
NPI assigned
Jul 12, 2007
Last updated
Feb 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brandy Walker
Title
Office Manager
Phone
(319) 234-4486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X IA Primary

Addresses

Primary practice location

847 W 4TH St
Waterloo, IA 50702-2141

Mailing address

847 W 4TH St
Waterloo, IA 50702-2141
Phone (319) 234-4486

Other identifiers 2

IdentifierTypeStateIssuer
0007948MedicaidIA
000971058OtherPAUNITED CONCORDIA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360540800000",
    "number": "1003015991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 W 4TH ST",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507022141",
            "telephone_number": "319-234-4486",
            "fax_number": "319-232-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 W 4TH ST",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507022141",
            "telephone_number": "319-234-4486",
            "fax_number": "319-232-4913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTENSEN,CHRISTENSEN & FREESEMAN,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2013-02-11",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "319-234-4486"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007948",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "000971058",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.