Individual provider Active NPI

Christopher Smith Lauritzen I, DDS

  • Dentist
  • Neenah, WI
National Provider Identifier
1275742843
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
600176415 Issued in WI
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

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260403002825 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0941541015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
600176415WIMDDentist
18239TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers, Inc. Current Accepting new patients
Community Health Centers, Inc. Dentist CurrentSince Mar 15, 2019 Accepting new patients
Community Health Centers, Inc. Dentist CurrentSince Mar 15, 2019 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.