Christian Robert Mitchell, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

FM3350701 Issued in NY

Practice address

5020 Lake Shore Rd
Hamburg, NY 14075-5719

Phone

(716) 627-7200

NPI assigned

Jun 28, 2011

Last updated

Sep 6, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lakeshore Dental Care, PLLC

  • General Practice Dentistry
  • Hamburg, NY
  • NPI 1962856237
  NPD (past) Authorized official
• Stanley J. Scott, DDS

  • General Practice Dentistry
  • Hamburg, NY
  • NPI 1598166290
  NPD (past)

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1033405048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 LAKE SHORE RD",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140755719",
            "telephone_number": "716-909-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 LAKE SHORE RD",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140755719",
            "telephone_number": "716-627-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "CHRISTIAN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "FM3350701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelbi Ann Milkas, M.S. ED CF-SLP
• Charles Raymond Miller, PHARM.D.
• Heather H Milliron, NP
• Rachel Minniefield, L.M.T.
• Mahendra Jamnadas Mirani, M.D.
• Lindsay M Mitchell, D.D.S.
• Taylor Mitchell, PA-C
• Justine Marie Monahan, PHARMD
• Rachel Alexandra Moore, MA
• Traci Ann Moore, LPN

• General Practice Dentistry in Hamburg, NY
• Providers in Hamburg, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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.