NPIMap

Organization Active NPI

Patrick D. Christensen, P.L.L.C.

Doing business as First Impression Dentistry

  • Dental Clinic/Center
  • Mesa, AZ
National Provider Identifier
1093204638
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D009232 Issued in AZ
Legal business name
PATRICK D. CHRISTENSEN, P.L.L.C.
Doing business as
First Impression Dentistry
Practice address
2120 W Guadalupe Rd Ste 5
Mesa, AZ 85202-7366
Phone
(480) 839-0985
Fax
(480) 730-8631
NPI assigned
May 9, 2018
Last updated
May 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2018

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

Authorized official

Name
Dr. Patrick D. Christensen, D.M.D., M.A.NPI 1235519018
Title
Owner
Phone
(480) 839-0985

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D009232 AZ Primary

Addresses

Primary practice location

2120 W Guadalupe Rd Ste 5
Mesa, AZ 85202-7366

Mailing address

2120 W Guadalupe Rd Ste 5
Mesa, AZ 85202-7366
Phone (480) 839-0985

Other names 1

  • First Impression Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2120 W Guadalupe Rd
Ste 5
Mesa, AZ 85202
Phone (480) 839-0985

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525824000000",
    "number": "1093204638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 W GUADALUPE RD STE 5",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027366",
            "telephone_number": "480-839-0985",
            "fax_number": "480-730-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 W GUADALUPE RD STE 5",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027366",
            "telephone_number": "480-839-0985",
            "fax_number": "480-730-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK D. CHRISTENSEN, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-05-09",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-839-0985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., M.A."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "D009232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Impression Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.