NPIMap

Organization Active NPI

Melisa a Christian DDS, PA

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1164705992
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15067 Issued in TX
Legal business name
MELISA A CHRISTIAN DDS, PA
Doing business as
Travis Walk Dental Care
Practice address
4514 Travis St
Suite 117
Dallas, TX 75205-4112
Phone
(214) 522-4330
Fax
(214) 522-2283
NPI assigned
Sep 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Authorized official

Name
Dr. Melisa A Christian, DDSNPI 1215183074
Title
President
Phone
(214) 522-4330

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 15067 TX Primary

Addresses

Primary practice location

4514 Travis St
Suite 117
Dallas, TX 75205-4112

Mailing address

4514 Travis St
Suite 117
Dallas, TX 75205-4112
Phone (214) 522-4330

Other names 1

  • Travis Walk Dental Care Doing business as

National Provider Directory

National Provider Directory

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": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1164705992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4514 TRAVIS ST",
            "address_2": "SUITE 117",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752054112",
            "telephone_number": "214-522-4330",
            "fax_number": "214-522-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4514 TRAVIS ST",
            "address_2": "SUITE 117",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752054112",
            "telephone_number": "214-522-4330",
            "fax_number": "214-522-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISA A CHRISTIAN DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "CHRISTIAN",
        "authorized_official_first_name": "MELISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-522-4330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Travis Walk Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.