NPIMap

Organization Active NPI

Christensen Pediatric Dentistry

Doing business as ABC Pediatric Dentistry

  • Pediatric Dentistry
  • Sioux Falls, SD
National Provider Identifier
1295343119
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
CHRISTENSEN PEDIATRIC DENTISTRY
Doing business as
ABC Pediatric Dentistry
Practice address
6908 S Lyncrest PL
Sioux Falls, SD 57108-2565
Phone
(605) 275-5771
NPI assigned
Jul 16, 2020
Last updated
Jul 22, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
ABC PEDIATRIC DENTISTRYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Authorized official

Name
Conner John Christensen, DDSNPI 1104209501
Title
Pediatric Dentist
Phone
(402) 440-5714

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X Primary

Addresses

Primary practice location

6908 S Lyncrest PL
Sioux Falls, SD 57108-2565

Mailing address

6908 S Lyncrest PL
Sioux Falls, SD 57108-2565
Phone (605) 275-5771

Other names 1

  • ABC Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory
Part of
Christensen Pediatric Dentistry

Locations

6908 S Lyncrest Pl
Sioux Falls, SD 57108
Phone (605) 275-5771

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1295343119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6908 S LYNCREST PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082565",
            "telephone_number": "605-275-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6908 S LYNCREST PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082565",
            "telephone_number": "605-275-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTENSEN PEDIATRIC DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ABC PEDIATRIC DENTISTRY",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "CONNER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "402-440-5714",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABC Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.