Individual provider Active NPI

Christopher Joseph Rehage, DMD

  • General Practice Dentistry
  • Benicia, CA
National Provider Identifier
1023464112
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
100430 Issued in CA
Practice address
884 Southampton Rd
Benicia, CA 94510-1907
Phone
(707) 748-7600
Fax
(707) 748-7693
NPI assigned
May 9, 2016
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X 100430 CA Primary

Addresses

Primary practice location

884 Southampton Rd
Benicia, CA 94510-1907

Mailing address

884 Southampton Rd
Benicia, CA 94510-1907
Phone (707) 748-7600

Other practice location 1

124 Warwick Ct
Alamo, CA 94507-1754
Phone (925) 639-8611

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

LicenseStateTypeSpecialty
100430CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1023464112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "884 SOUTHAMPTON RD",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945101907",
            "telephone_number": "707-748-7600",
            "fax_number": "707-748-7693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "884 SOUTHAMPTON RD",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945101907",
            "telephone_number": "707-748-7600",
            "fax_number": "707-748-7693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 Warwick Ct",
            "address_purpose": "LOCATION",
            "city": "Alamo",
            "state": "CA",
            "postal_code": "945071754",
            "country_code": "US",
            "telephone_number": "925-639-8611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REHAGE",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOSEPH",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "100430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benicia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.