Christian Community Care Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CHRISTIAN COMMUNITY CARE CENTER

Practice address

6092 SE Federal Hwy
Stuart, FL 34997-8101

Phone

(772) 288-2345

Fax

(844) 269-6899

NPI assigned

Jun 18, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Crystal Aguilar

Title

Director

Phone

(772) 288-2345

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Waynerd Bernard Frederickson II, D.D.S.

  • General Practice Dentistry
  • Stuart, FL
  • NPI 1750669420
  NPD

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

{
    "created_epoch": "1308355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1295020170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6092 SE FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349978101",
            "telephone_number": "177-228-8234",
            "fax_number": "844-269-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6092 SE FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349978101",
            "telephone_number": "772-288-2345",
            "fax_number": "844-269-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN COMMUNITY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-18",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "772-288-2345",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexsandra Chojnowski
• Emaline Baker Chope
• Rachel Chopka, OTA/L
• Chris Kates DDS PA
• Maureen Chriske, RD, LD/N
• Christopher J. Collins DC, PA
• Mary Chryssiadis, M.D.
• Merlin Chummar
• Churchill Services LLC
• Olivia Nicole Chuzie

• General Practice Dentistry in Stuart, FL
• Providers in Stuart, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.