Individual provider Active NPI

Angela Lee Anderson Christensen, D.D.S.

  • Dentist
  • Bluffdale, UT
National Provider Identifier
1366742959
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5939598-8903 Issued in UT
Practice address
1234 W. Peacock Midge Dr.
Bluffdale, UT 84065
Phone
(801) 446-3610
NPI assigned
Oct 28, 2010
Last updated
Oct 28, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5939598-8903 UT Primary

Addresses

Primary practice location

1234 W. Peacock Midge Dr.
Bluffdale, UT 84065

Mailing address

1234 W. Peacock Midge Dr.
Bluffdale, UT 84065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5939598-8903UTMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1366742959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 W. PEACOCK MIDGE DR.",
            "city": "BLUFFDALE",
            "state": "UT",
            "postal_code": "84065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 W. PEACOCK MIDGE DR.",
            "city": "BLUFFDALE",
            "state": "UT",
            "postal_code": "84065",
            "telephone_number": "801-446-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON CHRISTENSEN",
        "first_name": "ANGELA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "5939598-8903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffdale, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.