Individual provider Active NPI

Ryann Christensen, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fresno, CA
National Provider Identifier
1063942902
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
100256 Issued in CA
Practice address
1642 E. Herndon Ave Suite 105
Fresno, CA 93720
Phone
(559) 261-2055
Fax
(559) 468-0087
NPI assigned
Jun 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 100256 CA Primary

Addresses

Primary practice location

1642 E. Herndon Ave Suite 105
Fresno, CA 93720

Mailing address

1642 E. Herndon Ave Suite 105
Fresno, CA 93720
Phone (559) 261-2055

Other practice location 1

1095 Herndon Ave Ste 102
Clovis, CA 93612-0504
Phone (559) 326-5272

Other names 1

  • Ryann Walker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171117001507 CA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 9537425988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ryann Michelle Christensen, DDS, Ms, PC CurrentSince Sep 10, 2023 Accepting new patients
Ghazal and Lambridis Dental Corporation Past Accepting new patients

Locations

1642 E Herndon Ave
Ste 105
Fresno, CA 93720
Phone (559) 261-2055

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1063942902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 E. HERNDON AVE SUITE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93720",
            "telephone_number": "559-261-2055",
            "fax_number": "559-468-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 E. HERNDON AVE SUITE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93720",
            "telephone_number": "559-261-2055",
            "fax_number": "559-468-0087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1095 Herndon Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936120504",
            "country_code": "US",
            "telephone_number": "559-326-5272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "RYANN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "100256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RYANN",
            "last_name": "WALKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.