Christopher E Henderson, DDS, a Professional Corporation

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

CHRISTOPHER E HENDERSON, DDS, A PROFESSIONAL CORPORATION

Doing business as

Mountain View Oral & Maxillofacial Surgery

Practice address

11843 Sebastian Way
Rancho Cucamonga, CA 91730-0710

Phone

(909) 481-6867

NPI assigned

Sep 11, 2019

Last updated

Sep 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Eric Henderson, DDSNPI 1538230388

Title

Owner

Phone

(909) 481-6867

Specialties & licenses 1

Addresses

Other names 1

• Mountain View Oral & Maxillofacial Surgery Doing business as

Locations

Practitioners 1

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.

• Christopher E Henderson, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Rancho Cucamonga, CA
  • NPI 1538230388
  Authorized official Same address or phone

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1326697327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11843 SEBASTIAN WAY",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300710",
            "telephone_number": "909-481-6867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11843 SEBASTIAN WAY",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300710",
            "telephone_number": "909-481-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER E HENDERSON, DDS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-481-6867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain View Oral & Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Woan Tian Chow, PH.D., B.C.B.A.
• Chris Okwuosa MD, Corp
• Amarilda Amy Christensen, M.D.
• Kelsey Christensen
• Christine Galvez LMFT, Inc.
• Amy Chu
• Anisa Chu, NP
• Britney Chu
• Steve Chu, PT, DPT
• Marcelina Chua

• Oral & Maxillofacial Surgery (D.M.D.) in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.