Active NPI
Kurt D Christensen, DDS
- Pediatric Dentistry
- Murray, UT
National Provider Identifier
1003919358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 376098
- Practice address
- 678 E Vine St
12
Murray, UT 84107-5546 - Phone
- (801) 268-1135
- Fax
- (801) 685-7630
- NPI assigned
- Sep 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 376098 | UT | Primary |
Addresses
Primary practice location
678 E Vine St
12
Murray, UT 84107-5546
Mailing address
7948 S Ashley Downs CT
Cottonwood Heights, UT 84093
Phone (801) 268-1135
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00809488 | Other | UT | UNITED CONCORDIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 376098 | UT | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003919358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7948 S ASHLEY DOWNS CT",
"city": "COTTONWOOD HEIGHTS",
"state": "UT",
"postal_code": "84093",
"telephone_number": "801-268-1135",
"fax_number": "801-685-7630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "678 E VINE ST",
"address_2": "12",
"city": "MURRAY",
"state": "UT",
"postal_code": "841075546",
"telephone_number": "801-268-1135",
"fax_number": "801-685-7630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTENSEN",
"first_name": "KURT",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "UT",
"license": "376098",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "00809488",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.