Active NPI
Christopher John Nielsen, D.M.D
- General Practice Dentistry
- Sumner, WA
National Provider Identifier
1437248986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE00009825
- Practice address
- 3106-E Sumner-Tapps Hwy E
Sumner, WA 98390 - Phone
- (253) 891-3100
- Fax
- (253) 891-3102
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE00009825 | WA | Primary |
Addresses
Primary practice location
3106-E Sumner-Tapps Hwy E
Sumner, WA 98390
Mailing address
3106-E Sumner-Tapps Hwy E
Sumner, WA 98390
Phone (253) 891-3100
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
| License | State | Type | Specialty |
|---|---|---|---|
| DE00009825 | WA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437248986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3106-E SUMNER-TAPPS HWY E",
"city": "SUMNER",
"state": "WA",
"postal_code": "98390",
"telephone_number": "253-891-3100",
"fax_number": "253-891-3102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3106-E SUMNER-TAPPS HWY E",
"city": "SUMNER",
"state": "WA",
"postal_code": "98390",
"telephone_number": "253-891-3100",
"fax_number": "253-891-3102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIELSEN",
"first_name": "CHRISTOPHER",
"middle_name": "JOHN",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE00009825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sumner, WA
- Rebecca Ruth Muirhead, PSYD
- Navdeep Dhaliwal and Manpreet Dhaliwal DDS PLLC (Complete Dental Care of Sumner)
- Nghi Que Ngo, FNP-C
- Mindy Nichols, R.D., C.D.E.
- Nicholsons Sumner Pharmacy Inc
- Nikolina Petrasevic Nielsen, DMD
- Melissa Marie Noren, LMT
- Kelsey Marie O'Brien, PT, DPT
- Old Cannery Furniture Warehouse LLC (The Old Cannery)
- Brandi M Olsen, LMP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.