Organization Active NPI

Dr. Craig J. Christian, a Professional Dental Corporation

  • Dentist
  • Pacific Grove, CA
National Provider Identifier
1033258678
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
29993 Issued in CA
Legal business name
DR. CRAIG J. CHRISTIAN, A PROFESSIONAL DENTAL CORPORATION
Practice address
712 Lighthouse Ave
Pacific Grove, CA 93950-2522
Phone
(831) 375-4942
Fax
(831) 375-2960
NPI assigned
Feb 6, 2007
Last updated
Jan 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Authorized official

Name
Dr. Craig James Christian, DDSNPI 1578821377
Title
Officer
Phone
(831) 375-4942

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 29993 CA Primary

Addresses

Primary practice location

712 Lighthouse Ave
Pacific Grove, CA 93950-2522

Mailing address

PO Box 180
Pacific Grove, CA 93950-0180
Phone (831) 375-4942

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1033258678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939500180",
            "telephone_number": "831-375-4942",
            "fax_number": "831-375-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 LIGHTHOUSE AVE",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939502522",
            "telephone_number": "831-375-4942",
            "fax_number": "831-375-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CRAIG J. CHRISTIAN, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "CHRISTIAN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "831-375-4942",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "29993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacific Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.