Active NPI
Christine Lin Dunham, D.D.S.
- Dentist
- Joliet, IL
National Provider Identifier
1033291729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Practice address
- 4130 W Jefferson St
Joliet, IL 60431-4720 - Phone
- (815) 744-4333
- Fax
- (815) 744-4363
- NPI assigned
- Oct 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | IL | Primary |
Addresses
Primary practice location
4130 W Jefferson St
Joliet, IL 60431-4720
Mailing address
104 Prairie Dr
Minooka, IL 60447-9490
Phone (815) 467-6851
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 |
|---|---|---|---|
| 019022588 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033291729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 PRAIRIE DR",
"city": "MINOOKA",
"state": "IL",
"postal_code": "604479490",
"telephone_number": "815-467-6851",
"fax_number": "815-744-4363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4130 W JEFFERSON ST",
"city": "JOLIET",
"state": "IL",
"postal_code": "604314720",
"telephone_number": "815-744-4333",
"fax_number": "815-744-4363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNHAM",
"first_name": "CHRISTINE",
"middle_name": "LIN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joliet, IL
- Candace Duffy
- Meghan Eileen Duffy
- Dolly L Dugan, LCPC
- Meaghan Dugan
- Dulce,Martinez and Pinto Family Medical Centers, S.C. (Americas Family Medical Center)
- Nicole K Dunn, MA, CCC-SLP
- Dupage Medical Group LTD
- Dupage Medical Group LTD. (JOHA Pharmacy)
- Dupage Medical Group, LTD. (DuPage Medical Group)
- Dupage Medical Group, LTD. (DuPage Medical Group)
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.