Individual provider Active NPI

Kristin M Christiansen, DDS

  • Pediatric Dentistry
  • Aurora, CO
National Provider Identifier
1275781791
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
00203067 Issued in CO
Practice address
25521 E Smoky Hill Rd Unit 210
Aurora, CO 80016-1346
Phone
(303) 617-5437
NPI assigned
Sep 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 905700 CO
Pediatric Dentistry 1223P0221X 00203067 CO Primary

Addresses

Primary practice location

25521 E Smoky Hill Rd Unit 210
Aurora, CO 80016-1346

Mailing address

25521 East Smoky Hill Road, Suite #210
Aurora, CO 80016
Phone (303) 617-5437

Other practice location 1

1860 E Egbert St
Brighton, CO 80601-2475
Phone (303) 659-4000

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidCO

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

State licenses

LicenseStateTypeSpecialty
00203067COMDPediatric Dentist
905700COMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Erin Watts Carpenter DDS PC PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

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": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1275781791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25521 EAST SMOKY HILL ROAD, SUITE #210",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80016",
            "telephone_number": "303-617-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25521 E SMOKY HILL RD UNIT 210",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800161346",
            "telephone_number": "303-617-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1860 E Egbert St",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "CO",
            "postal_code": "806012475",
            "country_code": "US",
            "telephone_number": "303-659-4000",
            "fax_number": "303-659-9306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTIANSEN",
        "first_name": "KRISTIN",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "905700",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "00203067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.