NPIMap

Organization Active NPI

DC Dental

  • Dental Clinic/Center
  • Fruita, CO
National Provider Identifier
1215468368
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DEN.00203064 Issued in CO
Legal business name
DC DENTAL
Practice address
576 Kokopelli Blvd Unit B
Fruita, CO 81521-6306
Phone
(509) 793-3560
NPI assigned
Mar 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Authorized official

Name
Dr. Dane C Christensen, DDS
Title
Owner
Phone
(509) 793-3560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DEN.00203064 CO Primary

Addresses

Primary practice location

576 Kokopelli Blvd Unit B
Fruita, CO 81521-6306

Mailing address

650 Copper Canyon Dr
Grand Junction, CO 81505-2001
Phone (509) 793-3560

Other names 1

  • Fruita Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

576 Kokopelli Blvd
Unit B
Fruita, CO 81521
Phone (509) 793-3560

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1215468368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 COPPER CANYON DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815052001",
            "telephone_number": "509-793-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 KOKOPELLI BLVD UNIT B",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815216306",
            "telephone_number": "509-793-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DC DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "DANE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-793-3560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "DEN.00203064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fruita Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fruita, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.