Individual provider Active NPI

James M. Christian, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Memphis, TN
National Provider Identifier
1356305569
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS0000009088 Issued in TN
Practice address
875 Union Avenue
The University of Tennessee
Memphis, TN 38133-3513
Phone
(901) 448-6236
Fax
(901) 448-5480
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 30021966 OH
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 14057 MD
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS0000009088 TN Primary

Addresses

Primary practice location

875 Union Avenue
The University of Tennessee
Memphis, TN 38133-3513

Mailing address

875 Union Avenue
The University of Tennessee
Memphis, TN 38133-3513
Phone (901) 448-6236

Other identifiers 1

IdentifierTypeStateIssuer
2526270MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101012000224 TN Practitioner - Oral Surgery 9537110648 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14057MDMDClinical Social Worker
DS0000009088TNMDOral and Maxillofacial Surgery (Dentist)
30021966OHMDOral & Maxillofacial Surgery (D.M.D.)
9088TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
St Jude Children'S Research Hospital, Inc. CurrentSince Mar 10, 2024 Accepting new patients
Johns Hopkins University Oral and Maxillofacial Surgery Past Accepting new patients

Locations

262 Danny Thomas Pl
Memphis, TN 38105
Phone (888) 226-4343

Interoperability endpoints

  • Direct secure messaging: jchristian21295@stjude.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277424000000",
    "number": "1356305569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 UNION AVENUE",
            "address_2": "THE UNIVERSITY OF TENNESSEE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381333513",
            "telephone_number": "901-448-6236",
            "fax_number": "901-448-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 UNION AVENUE",
            "address_2": "THE UNIVERSITY OF TENNESSEE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381333513",
            "telephone_number": "901-448-6236",
            "fax_number": "901-448-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIAN",
        "first_name": "JAMES",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2010-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "OH",
            "license": "30021966",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "14057",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "DS0000009088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2526270",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.