Individual provider Active NPI

John Robert Christensen, D.D.S., M.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Durham, NC
National Provider Identifier
1255417846
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
5274 Issued in NC
Practice address
121 W Woodcroft Pkwy
Durham, NC 27713-9471
Phone
(919) 489-1543
Fax
(919) 489-2892
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 5274 NC
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 5274 NC Primary

Addresses

Primary practice location

121 W Woodcroft Pkwy
Durham, NC 27713-9471

Mailing address

121 W Woodcroft Pkwy
Durham, NC 27713-9471
Phone (919) 489-1543

Other identifiers 1

IdentifierTypeStateIssuer
8991556MedicaidNC

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
John R Christensen DDS Ms Ms PA Pediatric Dentistry CurrentSince Oct 6, 2019 Accepting new patients
Robert T. Christensen, D.D.S., M.S., P.a. Pediatric Dentistry CurrentSince Nov 10, 2024 Accepting new patients

Locations

121 W Woodcroft Pkwy
Durham, NC 27713
Phone (919) 489-1543

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1255417846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W WOODCROFT PKWY",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277139471",
            "telephone_number": "919-489-1543",
            "fax_number": "919-489-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W WOODCROFT PKWY",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277139471",
            "telephone_number": "919-489-1543",
            "fax_number": "919-489-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "5274",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "5274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8991556",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.