Christopher Luke Viall

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D14995 Issued in MN

Practice address

2634 Shadow LN Ste 101
Chaska, MN 55318-1120

Phone

(952) 448-4151

NPI assigned

Mar 6, 2019

Last updated

Mar 25, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Chaska Dental Center, P.a.

  • General Practice Dentistry
  • Chaska, MN
  • NPI 1891867941
  NPD (past)

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1164980322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2634 SHADOW LN STE 101",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181120",
            "telephone_number": "952-448-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2634 SHADOW LN STE 101",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181120",
            "telephone_number": "952-448-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIALL",
        "first_name": "CHRISTOPHER",
        "middle_name": "LUKE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-06",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Uribe, APRN CNM
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• Valley Dental Associates
• Catherine O. Vanhoven, LMFT
• Douglas William Vayda, DDS, DMSC
• Lucas Arthur Volini, DMFT, LMFT
• Walgreen Co (Walgreens #05325)
• Kristen Ward
• Shara Marie Wasserman, CCCSLP
• Wauona Training and Consulting Inc

• General Practice Dentistry in Chaska, MN
• Providers in Chaska, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.