Christopher Robert Culliton, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5070 Issued in LA

Practice address

1613 Jimmie Davis Hwy
Suite 1
Bossier City, LA 71112-4557

Phone

(318) 752-3939

Fax

(318) 752-3330

NPI assigned

Feb 19, 2006

Last updated

Apr 25, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hooper Family Dentistry, Inc

  • General Practice Dentistry
  • Bossier City, LA
  • NPI 1073187753
  NPD (past)

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

{
    "created_epoch": "1140307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1467427989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 JIMMIE DAVIS HWY",
            "address_2": "SUITE 1",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711124557",
            "telephone_number": "318-752-3939",
            "fax_number": "318-752-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 JIMMIE DAVIS HWY",
            "address_2": "SUITE 1",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711124557",
            "telephone_number": "318-752-3939",
            "fax_number": "318-752-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLITON",
        "first_name": "CHRISTOPHER",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-19",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Wayne Crawley, R.PH.
• Keith Calvin Crnkovic, DPT
• Alicia Price Crooks, OD
• Abigail Claire Cruice
• Amanda Cruse, LPC
• Charles Wayne Culpepper, PA
• Kellen Culpepper
• Kelly Cheree Cummings, RN,BSN
• Heaven Cunanan
• Nelson Tiamzon Cunanan

• General Practice Dentistry in Bossier City, LA
• Providers in Bossier City, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.