Active NPI
Kristin M Christiansen, DDS
- Pediatric Dentistry
- Aurora, CO
National Provider Identifier
1275781791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 00203067
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | CO |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00203067 | CO | MD | Pediatric Dentist |
| 905700 | CO | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erin Watts Carpenter DDS PC | Past | 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.
-
- Dental Clinic/Center
- Aurora, CO
- NPI 1326278367
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.