Organization Active NPI

Christman Dental, LTD

  • Dentist
  • Chippewa Falls, WI
National Provider Identifier
1194066167
Registry record updated Mar 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4080 Issued in WI
Legal business name
CHRISTMAN DENTAL, LTD
Practice address
425 W Prairie View Road
Chippewa Falls, WI 54729-3389
Phone
(715) 726-1060
NPI assigned
Mar 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2013

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

Authorized official

Name
Dr. Blane R Christman, DDS
Title
Owner
Phone
(715) 726-1060

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 4080 WI Primary
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X 6466 WI

Addresses

Primary practice location

425 W Prairie View Road
Chippewa Falls, WI 54729-3389

Mailing address

425 W Prairie View Road
Chippewa Falls, WI 54729-3389
Phone (715) 726-1060

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1194066167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W PRAIRIE VIEW ROAD",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547293389",
            "telephone_number": "715-726-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W PRAIRIE VIEW ROAD",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547293389",
            "telephone_number": "715-726-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTMAN DENTAL, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "CHRISTMAN",
        "authorized_official_first_name": "BLANE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-726-1060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WI",
            "license": "4080",
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "WI",
            "license": "6466",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chippewa Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.