Dana Christianson, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

28954 Issued in NC

Practice address

188 Medical Park Dr.
Suite C
Brevard, NC 28712-3035

Phone

(828) 884-7320

Fax

(828) 877-6191

NPI assigned

Mar 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194825600000",
    "number": "1104885920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 MEDICAL PARK DR.",
            "address_2": "SUITE C",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287123035",
            "telephone_number": "828-884-7320",
            "fax_number": "828-877-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 MEDICAL PARK DR.",
            "address_2": "SUITE C",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287123035",
            "telephone_number": "828-884-7320",
            "fax_number": "828-877-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIANSON",
        "first_name": "DANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2007-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "28954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "22472",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8922472",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0850446",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia P Champion
• Justin B Chang, DDS
• Charles D. Lefler M.D. ,P.a
• Marco Chavarria-Aguilar, MD
• Choice Sleep Labs Inc
• John Douglas Clark Jr., MD
• Wesley Thomas Z Clark
• Joseph Andrew Cohen, MD
• Scott Cameron Cole, M.D.
• Heather Comfort, LCSW

• Ophthalmology Physician in Brevard, NC
• Providers in Brevard, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; 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.