Lynde D Christensen, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D3741 Issued in ID

Practice address

1558 N Crestmont Dr
Suite a
Meridian, ID 83642-2192

Phone

(208) 887-7622

Fax

(208) 887-7689

NPI assigned

Sep 8, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1457345134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1558 N CRESTMONT DR",
            "address_2": "SUITE A",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422192",
            "telephone_number": "208-887-7622",
            "fax_number": "208-887-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 N CRESTMONT DR",
            "address_2": "SUITE A",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422192",
            "telephone_number": "208-887-7622",
            "fax_number": "208-887-7689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "LYNDE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-08",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D3741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806834200",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Svetlana Chornyi, PHARMD
• Chris Kelson DMD MSD PC
• Aimee Christensen, LCPC
• Jacob Kent Christensen, D.O.
• Ladessa Marie Christensen, NP-C
• Miranda Sue Christenson, PHARMD
• Lauren Christian
• Celeste Renee Christiansen, FNP
• Wendy Christy
• Jonathan Chu, MD

• General Practice Dentistry in Meridian, ID
• Providers in Meridian, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.