Christensen Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D3741 Issued in ID

Legal business name

CHRISTENSEN DENTAL PLLC

Practice address

4111 Clock Tower Ave
Caldwell, ID 83607-5006

Phone

(208) 455-1816

Fax

(208) 459-1446

NPI assigned

Apr 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Lynde D Christensen, DDS

Title

Dentist/Owner

Phone

(208) 455-1816

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1104099118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 CLOCK TOWER AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836075006",
            "telephone_number": "208-455-1816",
            "fax_number": "208-459-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 CLOCK TOWER AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836075006",
            "telephone_number": "208-455-1816",
            "fax_number": "208-459-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTENSEN DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "LYNDE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "208-455-1816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D3741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "6K588",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joni Brooke Chadez-Linder, RN
• Sulabha Chaganaboyana, M.D.
• Bobby Chawla, D.O.
• Kevin J Chicoine, MD
• Chiropractic & Rehabilitation PC
• Robert Christensen
• Deann R Christian, LPC, NCC
• Clearview Ultrasound Inc.
• Kirby Lynn Clendenon, DDS
• Hannah Cliff, PA-C

• General Practice Dentistry in Caldwell, ID
• Providers in Caldwell, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.