Organization Active NPI

Christian Santana D D S P C

  • Dental Clinic/Center
  • Hazleton, PA
National Provider Identifier
1164723474
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CHRISTIAN SANTANA D D S P C
Practice address
21 E Broad St Ste C
Hazleton, PA 18201-6511
Phone
(570) 497-4081
Fax
(570) 497-4082
NPI assigned
Nov 3, 2010
Last updated
Oct 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Dr. Christian F Santana, DDS
Title
Dentist President
Phone
(570) 497-4081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

21 E Broad St Ste C
Hazleton, PA 18201-6511

Mailing address

21 E Broad St Ste C
Hazleton, PA 18201-6511
Phone (570) 497-4081

National Provider Directory

National Provider Directory

Locations

100 W Broad St
Ste 111
Hazleton, PA 18201

21 E Broad St
Ste C
Hazleton, PA 18201
Phone (570) 497-4081

NPI Registry JSON

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1164723474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 E BROAD ST STE C",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016511",
            "telephone_number": "570-497-4081",
            "fax_number": "570-497-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 E BROAD ST STE C",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016511",
            "telephone_number": "570-497-4081",
            "fax_number": "570-497-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN SANTANA D D S P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DENTIST PRESIDENT",
        "authorized_official_telephone_number": "570-497-4081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.