Nicole J Christy, AS, BS, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901600154 Issued in MI

Practice address

100 S Stephenson Ave
Iron Mountain, MI 49801-2920

Phone

(906) 828-3273

NPI assigned

May 22, 2019

Last updated

May 22, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Associate of Science, Bachelor of Science

State licenses

Practice roles

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

• John T. Fornetti DDS

  • General Practice Dentistry
  • Iron Mountain, MI
  • NPI 1477240646
  NPD (past)

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1275190498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 W BROWN ST",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498012705",
            "telephone_number": "906-396-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S STEPHENSON AVE",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498012920",
            "telephone_number": "906-828-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTY",
        "first_name": "NICOLE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "AS, BS, DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901600154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Marie Cherney
• Lindsay Ann Christensen, PHARMD
• Julie Christesen, FNP
• Carrie Christiansen
• Jean Cynthia Christianson
• Alexis Cirilli Whaley, MD
• Antoinette M Cirrincione, RN
• Jennifer Clark
• Jessica Ann Clarke, LMSW
• Kari Clendenning, APSW

• General Practice Dentistry in Iron Mountain, MI
• Providers in Iron Mountain, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.