Kelsey Marie Christensen

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38856 Issued in TX

Practice address

12055 Vance Jackson Rd Ste 103
San Antonio, TX 78230-6058

Phone

(210) 568-9800

NPI assigned

Aug 6, 2022

Last updated

Aug 6, 2022By the provider in NPPES

Sex

Female

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

Locations

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.

• The Dental Wish Foundation

  • Dental Clinic/Center
  • San Antonio, TX
  • NPI 1861072274
  NPD

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

{
    "created_epoch": "1659744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659744000000",
    "number": "1184351348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 BRAESVIEW APT 3008",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134871",
            "telephone_number": "509-899-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12055 VANCE JACKSON RD STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782306058",
            "telephone_number": "210-568-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "KELSEY",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-06",
        "last_updated": "2022-08-06",
        "certification_date": "2022-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "38856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Collin Christensen, PA-C
• Daniel Scott Christensen, APRN
• Elizabeth Ann Christensen, CSFA
• Hilary Christine Christensen, D.O.
• Ingemerete Christensen, OTA
• Sarah Wilson Christensen
• Pamela J Christenson-Geis, LPC
• Christian Alliance With Social Service Involvement
• Christian Alliance With Social Services Involvement
• Christian Assistance Ministry

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2022; 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.