Active NPI
Christopher Smith Lauritzen I, DDS
- Dentist
- Neenah, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 600176415
- Practice address
- Elite Dental Partners
655 Deerwood Ave
Neenah, WI 54956-8276 - Phone
- (435) 723-8276
- NPI assigned
- May 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9738345-9921 | UT | |
| Dentist | 122300000X | 600176415 | WI | Primary |
| General Practice Dentistry | 1223G0001X | 18239 | TX |
Addresses
Primary practice location
Elite Dental Partners
655 Deerwood Ave
Neenah, WI 54956-8276
Mailing address
Elite Dental Partners
655 Deerwood Ave
Neenah, WI 54956
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260403002825 | TX | Order and Referring Only - Oral Surgery | 0941541015 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 600176415 | WI | MD | Dentist |
| 18239 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers, Inc. | Current | Accepting new patients | |
| Community Health Centers, Inc. | Dentist | Current | Accepting new patients |
| Community Health Centers, Inc. | Dentist | Current | Accepting new patients |
Locations
980 S 500 W
Ste 1
Brigham City, UT 84302
Phone (435) 723-6191
220 W 7200 S
Ste A
Midvale, UT 84047
Phone (801) 566-5494
1365 W 1000 N
Slc, UT 84116
Phone (801) 328-5750
4745 S 3200 W
Taylorsville, UT 84129
Phone (801) 964-6214
440 W 6th N
Tremonton, UT 84337
Phone (435) 257-7441
1455 W 2200 S
Ste 300
West Valley City, UT 84119
Phone (801) 231-6986
2621 S 3270 W
West Valley City, UT 84119
Phone (385) 261-2614
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ACFCAA
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Midvale, UT
- NPI 1073611364
-
- Federally Qualified Health Center (FQHC)
- Salt Lake City, UT
- NPI 1255757670
Dentist
-
- Federally Qualified Health Center (FQHC)
- West Valley City, UT
- NPI 1952505117
Dentist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1275742843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ELITE DENTAL PARTNERS",
"address_2": "655 DEERWOOD AVE",
"city": "NEENAH",
"state": "WI",
"postal_code": "54956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ELITE DENTAL PARTNERS",
"address_2": "655 DEERWOOD AVE",
"city": "NEENAH",
"state": "WI",
"postal_code": "549568276",
"telephone_number": "435-723-8276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAURITZEN",
"first_name": "CHRISTOPHER",
"middle_name": "SMITH",
"name_prefix": "Dr.",
"name_suffix": "I",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2025-08-07",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "UT",
"license": "9738345-9921",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "600176415",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "18239",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Neenah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.