Organization Active NPI

WM R Christian DDS SC

  • General Practice Dentistry
  • Wisconsin Rapids, WI
National Provider Identifier
1043254832
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0614G Issued in WI
Legal business name
WM R CHRISTIAN DDS SC
Practice address
820 Two Mile Ave
Wisconsin Rapids, WI 54494
Phone
(715) 421-2330
Fax
(715) 421-3425
NPI assigned
Jun 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Dr. William R Christian, DOCTOR OF DENTISTRY
Title
President Owner Dentist
Phone
(715) 421-2330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0614G WI Primary

Addresses

Primary practice location

820 Two Mile Ave
Wisconsin Rapids, WI 54494

Mailing address

820 Two Mile Ave
Wisconsin Rapids, WI 54494
Phone (715) 421-2330

National Provider Directory

National Provider Directory

Locations

820 Two Mile Ave
Wisconsin Rapids, WI 54494
Phone (715) 421-1107

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1043254832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 TWO MILE AVE",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "54494",
            "telephone_number": "715-421-2330",
            "fax_number": "715-421-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 TWO MILE AVE",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "54494",
            "telephone_number": "715-421-2330",
            "fax_number": "715-421-3425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WM R CHRISTIAN DDS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "CHRISTIAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT OWNER DENTIST",
        "authorized_official_telephone_number": "715-421-2330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOCTOR OF DENTISTRY"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "0614G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wisconsin Rapids, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.