Active NPI
Christman Dental, LTD
- Dentist
- Chippewa Falls, WI
National Provider Identifier
1194066167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4080
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4080 | WI | Primary |
| Prosthodontics | 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 DirectoryNPI 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.