Organization Active NPI

Henriod and Christensen Dental Corporation

  • Dentist
  • Ramona, CA
National Provider Identifier
1124689328
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HENRIOD AND CHRISTENSEN DENTAL CORPORATION
Practice address
425 10TH St Ste B
Ramona, CA 92065-3936
Phone
(760) 789-0170
NPI assigned
Jun 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Authorized official

Name
Mr. Michael Henriod
Title
Business Manager
Phone
(801) 792-7018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

425 10TH St Ste B
Ramona, CA 92065-3936

Mailing address

425 10TH St Ste B
Ramona, CA 92065-3936
Phone (760) 789-0170

Other identifiers 1

IdentifierTypeStateIssuer
55124OtherCACBDE

Other names 1

  • Ramona Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

425 10th St
Ste B
Ramona, CA 92065
Phone (760) 789-0170

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1124689328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 10TH ST STE B",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920653936",
            "telephone_number": "760-789-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 10TH ST STE B",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920653936",
            "telephone_number": "760-789-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRIOD AND CHRISTENSEN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "HENRIOD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "801-792-7018",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBDE",
            "identifier": "55124",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ramona Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ramona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.