Active NPI
Nicholas Christianson, DMD
- Dentist
- Middleton, WI
National Provider Identifier
1487095873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7122
- Practice address
- 7001 W Old Sauk Rd
Middleton, WI 53562-3509 - Phone
- (608) 833-2578
- NPI assigned
- Jul 12, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 7122 | WI | Primary |
Addresses
Primary practice location
7001 W Old Sauk Rd
Middleton, WI 53562-3509
Mailing address
44 E Mifflin St
Suite 204
Madison, WI 53703-4205
Phone (608) 256-0499
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141111001062 | WI | Order and Referring Only - Oral Surgery | 7012139884 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7122 | WI | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490227200000",
"number": "1487095873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 E MIFFLIN ST",
"address_2": "SUITE 204",
"city": "MADISON",
"state": "WI",
"postal_code": "537034205",
"telephone_number": "608-256-0499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7001 W OLD SAUK RD",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535623509",
"telephone_number": "608-833-2578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIANSON",
"first_name": "NICHOLAS",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-12",
"last_updated": "2017-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "7122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.