Brett Kendall Christensen, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

5336153-9923 Issued in UT

Practice address

368 E Riverside Dr Ste 6
St George, UT 84790

Phone

(435) 688-8827

Fax

(435) 688-8826

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IGHIBD

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.

• TC Pediatric Dentistry LLC

  • Pediatric Dentistry
  • Ketchikan, AK
  • NPI 1366243362
  NPD Authorized official
• Dixie Pediatric Dental

  • Pediatric Dentistry
  • St George, UT
  • NPI 1164837621
  NPD (past) Authorized official
• Creek Valley Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Colorado City, AZ
  • NPI 1821652793
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1073627295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 E RIVERSIDE DR STE 6",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907278",
            "telephone_number": "435-688-8827",
            "fax_number": "435-688-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 E RIVERSIDE DR STE 6",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "84790",
            "telephone_number": "435-688-8827",
            "fax_number": "435-688-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "BRETT",
        "middle_name": "KENDALL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "UT",
            "license": "53361539923",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "5336153-9923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "83041",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506180",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1759539",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BXBS",
            "identifier": "53361539902001",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "937807",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Myoung Ah Chou
• Adria Christensen
• Amy A Christensen
• Autum Christensen, APRN
• Brandon D. Christensen, LCSW
• Brooklyn Sue Christensen
• Brynn Christensen
• Bryt Christensen, M.D.
• Cheyenne Christensen
• Christopher Christensen, PHARMD

• Dentist in St George, UT
• Providers in St George, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.