Active NPI
Chad Kent Christiansen, M.D.
- Student in an Organized Health Care Education/Training Program
- Murray, UT
National Provider Identifier
1245485499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 390200000X
- Practice address
- 5169 Cottonwood St Ste 303
Murray, UT 84107-6768 - Phone
- (801) 507-6900
- NPI assigned
- Dec 1, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 390200000X | UT | Primary |
Addresses
Primary practice location
5169 Cottonwood St Ste 303
Murray, UT 84107-6768
Mailing address
2648 Hartford St
Salt Lake City, UT 84106-3610
Phone (801) 712-7328
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 390200000X | UT | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228089600000",
"number": "1245485499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2648 HARTFORD ST",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841063610",
"telephone_number": "801-712-7328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5169 COTTONWOOD ST STE 303",
"city": "MURRAY",
"state": "UT",
"postal_code": "841076768",
"telephone_number": "801-507-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIANSEN",
"first_name": "CHAD",
"middle_name": "KENT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-01",
"last_updated": "2008-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "UT",
"license": "390200000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murray, UT
- Michael Christensen, ACNP
- Michelle Christensen
- Rilee Christensen
- Steven Edward Christensen, PT, ATC
- Pepper Christiaens, SSW
- Taylor Christiansen, PA
- Sarah Serene Ruhiyyih Christianson, D.O.
- Kylee Christoffersen
- Shahrzad Sharifan Christopher, PA-C
- Christus Continuing Care (CHRISTUS HomeCare - St. Joseph)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.