Michael Christian, D.M.D.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

011277 Issued in CT

Practice address

168 Spencer St
Manchester Smiles
Manchester, CT 06040-4616

Phone

(860) 670-4739

NPI assigned

Aug 25, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1508266750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 BROAD ST",
            "address_2": "STAMFORD DENTAL SPA",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069012702",
            "telephone_number": "860-670-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 SPENCER ST",
            "address_2": "MANCHESTER SMILES",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404616",
            "telephone_number": "860-670-4739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIAN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-25",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "15680",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CT",
            "license": "011277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krizia Chien, MD
• Chin Up Clinical Services LLC
• Chiropractic Family Health Center of Manchester,LLC
• Tyler M Chita, LMSW
• Ghania N Chohan, DDS
• Justin David Chung, DDS
• Steven P. Chung, DMD
• Christina Chykirda, LPC
• Corrie J Cirelli
• Imelda Angelica Perez Cirilo, M.D.

• Prosthodontics in Manchester, CT
• Providers in Manchester, CT by specialty
• Prosthodontics in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.