John R Christensen DDS Ms Ms PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

5274 Issued in NC

Legal business name

JOHN R CHRISTENSEN DDS MS MS PA

Doing business as

Durham Pediatric Dentistry
Durham Pediatric Dentistry & Orthodontics

Practice address

121 W Woodcroft Pkwy
Durham, NC 27713-9471

Phone

(919) 489-1543

Fax

(919) 489-2892

NPI assigned

May 11, 2007

Last updated

Oct 3, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Robert Christensen, DDS, MS, MSNPI 1255417846

Title

Owner, President, Dentist

Phone

(919) 489-1543

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 2

• Durham Pediatric Dentistry Doing business as
• Durham Pediatric Dentistry & Orthodontics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Durham, NC
  • NPI 1255417846

  Pediatric Dentistry

  NPD Authorized official

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1255546420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 WOODCROFT PARKWAY",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27713",
            "telephone_number": "919-489-1543"
        },
        {
            "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": {
        "organization_name": "JOHN R CHRISTENSEN DDS MS MS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER, PRESIDENT, DENTIST",
        "authorized_official_telephone_number": "919-489-1543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "5274",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8991556",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Durham Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Durham Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Durham Pediatric Dentistry & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arny Johannesdottir, MD
• Jon Magnus Johannesson
• Dallin Jay Johansen, DO
• Tracy Johansen, MED CCC SLP
• John G Giragos MD PA
• Merin Joy John
• Tess Sebastian John, FNP
• Amy Johndro, LCSW
• Soma Johnkutty, M.D.
• Angela A. Johns, NP

• Dental Clinic/Center in Durham, NC
• Providers in Durham, NC by specialty
• Dental Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.