Active NPI
Craig M Christensen, DMD
- Dentist
- Sandy, UT
National Provider Identifier
1083899439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1378419922
- Practice address
- 9455 S Union Square Plaza
Sandy, UT 84070 - Phone
- (801) 571-5050
- NPI assigned
- Jan 4, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 1378419922 | UT | Primary |
Addresses
Primary practice location
9455 S Union Square Plaza
Sandy, UT 84070
Mailing address
9455 So Union SQ
Sandy, UT 84070
Phone (801) 571-5050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160422001292 | UT | Order and Referring Only - Dentist | 8426371915 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1378419922 | UT | MD | Dentist |
Networks
- UT PPO D-SNP
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199404800000",
"number": "1083899439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9455 SO UNION SQ",
"city": "SANDY",
"state": "UT",
"postal_code": "84070",
"telephone_number": "801-571-5050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9455 S UNION SQUARE PLAZA",
"city": "SANDY",
"state": "UT",
"postal_code": "84070",
"telephone_number": "801-571-5050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTENSEN",
"first_name": "CRAIG",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-04",
"last_updated": "2008-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "1378419922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.