Active NPI
Christine Rae Ford, DDS
- General Practice Dentistry
- Gilbert, AZ
National Provider Identifier
1205809019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8037
- Practice address
- 3891 E Palo Verde St
Gilbert, AZ 85296-1861 - Phone
- (206) 819-0447
- NPI assigned
- Feb 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8037 | AZ | Primary |
Addresses
Primary practice location
3891 E Palo Verde St
Gilbert, AZ 85296-1861
Mailing address
3891 E Palo Verde St
Gilbert, AZ 85296-1861
Phone (206) 819-0447
Other names 1
- Christine Rae Blumell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8037 | AZ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377043200000",
"number": "1205809019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3891 E PALO VERDE ST",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852961861",
"telephone_number": "206-819-0447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3891 E PALO VERDE ST",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852961861",
"telephone_number": "206-819-0447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "CHRISTINE",
"middle_name": "RAE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-10",
"last_updated": "2013-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "8037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "BLUMELL",
"middle_name": "RAE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.