NPIMap

Organization Active NPI

Christie Family Dentistry

  • General Practice Dentistry
  • Connersville, IN
National Provider Identifier
1477794352
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12010564 Issued in IN
Legal business name
CHRISTIE FAMILY DENTISTRY
Practice address
2628 Western Ave
Connersville, IN 47331-1803
Phone
(765) 825-2941
Fax
(765) 827-5796
NPI assigned
Mar 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

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

Authorized official

Name
Dr. Laura Cristen Marszalek, D.D.S.NPI 1851513311
Title
Owner
Phone
(765) 825-2941

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12010564 IN Primary

Addresses

Primary practice location

2628 Western Ave
Connersville, IN 47331-1803

Mailing address

2628 Western Ave
Connersville, IN 47331-1803
Phone (765) 825-2941

National Provider Directory

National Provider Directory
Tax ID family
Christie Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1477794352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2628 WESTERN AVE",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473311803",
            "telephone_number": "765-825-2941",
            "fax_number": "765-827-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2628 WESTERN AVE",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473311803",
            "telephone_number": "765-825-2941",
            "fax_number": "765-827-5796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-23",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "MARSZALEK",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "CRISTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-825-2941",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Connersville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; 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.