Brian a. Christopherson DDS, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D6355 Issued in AZ

Legal business name

BRIAN A. CHRISTOPHERSON DDS, PLLC

Doing business as

Advanced Endodontics

Practice address

2017 E Adobe St
Mesa, AZ 85213-6740

Phone

(480) 733-1778

Fax

(480) 733-1657

NPI assigned

Jul 7, 2007

Organization subpart

No

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

Authorized official

Name

Brian Allen Christopherson, D.D.S.NPI 1225115942

Title

Managing Member

Phone

(480) 733-1778

Specialties & licenses 1

Addresses

Other names 1

• Advanced Endodontics Doing business as

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.

• Brian Allen Christopherson, DDS

  • Endodontics
  • Mesa, AZ
  • NPI 1225115942
  Authorized official Same address or phone

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

{
    "created_epoch": "1183766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336347624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 E ADOBE ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852136740",
            "telephone_number": "480-733-1778",
            "fax_number": "480-733-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 E ADOBE ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852136740",
            "telephone_number": "480-733-1778",
            "fax_number": "480-733-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN A. CHRISTOPHERSON DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHRISTOPHERSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "480-733-1778",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "D6355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Randall C. Bretzing, DDS
• Ellen Lorraine Bretzke, RN
• John Brewer
• Jordan Michael Brewer
• Jessica Lynn Breznak-Higgins, LPC
• Brian Cafaro, MD, PC
• Brian Cahill, D.D.S., Inc
• Brian R. Peterson, D.D.S., PC
• Brian S Page DO LLC
• Brian Lamar Brice, MD

• Dental Clinic/Center in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Dental Clinic/Center in Arizona

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