Active NPI
Todd Richard Christy, DDS
- Dentist
- Berrien Springs, MI
National Provider Identifier
1114081486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 17044
- Practice address
- 8383 M 139
Berrien Springs, MI 49103-9001 - Phone
- (269) 471-4055
- Fax
- (269) 471-3829
- NPI assigned
- Dec 21, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 17044 | MI | Primary |
Addresses
Primary practice location
8383 M 139
Berrien Springs, MI 49103-9001
Mailing address
8383 M 139
Berrien Springs, MI 49103-9001
Phone (269) 471-4055
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17044 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berrien Dental PLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114081486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8383 M 139",
"city": "BERRIEN SPRINGS",
"state": "MI",
"postal_code": "491039001",
"telephone_number": "269-471-4055",
"fax_number": "269-471-3829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8383 M 139",
"city": "BERRIEN SPRINGS",
"state": "MI",
"postal_code": "491039001",
"telephone_number": "269-471-4055",
"fax_number": "269-471-3829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTY",
"first_name": "TODD",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "17044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berrien Springs, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.