Active NPI
Jared Christensen, D.D.S.
- Student in an Organized Health Care Education/Training Program
- Springfield, MO
National Provider Identifier
1073972410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 440 E Tampa St
Springfield, MO 65806-1131 - Phone
- (417) 831-0150
- NPI assigned
- Feb 13, 2016
- Last updated
- Feb 13, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
440 E Tampa St
Springfield, MO 65806-1131
Mailing address
8626 NE 98TH CT
Kansas City, MO 64157-6205
Phone (816) 808-2939
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455321600000",
"number": "1073972410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8626 NE 98TH CT",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641576205",
"telephone_number": "816-808-2939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 E TAMPA ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658061131",
"telephone_number": "417-831-0150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTENSEN",
"first_name": "JARED",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-13",
"last_updated": "2016-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
- Rebecca E Chrestman, DOM & LAC
- Chris M Shorter DC PC (Shorter Chiropractic)
- Madison Claire Chrisman
- Jean Christ, APRN
- Douglas A Christensen, PHARMD
- Kimberly Christenson
- Morgan Christeson
- Christian Health Care Hospice, Inc. (Regional Hospice)
- Christian Health Care of Springfield East, Inc.
- Christian Health Care of Springfield West Park
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.