Individual provider Active NPI

McKay M Christensen, DMD

  • Dentist
  • St George, UT
National Provider Identifier
1508553793
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13365962-9923 Issued in UT
Practice address
2276 E Riverside Dr
St George, UT 84790-2636
Phone
(435) 359-2165
NPI assigned
Apr 19, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 13365962-8903 UT
Dentist 122300000X 13365962-9923 UT Primary

Addresses

Primary practice location

2276 E Riverside Dr
St George, UT 84790-2636

Mailing address

715 W Owen Dr
Saint George, UT 84790-2694
Phone (385) 312-4411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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

Enrollment IDStateProvider typePAC IDDetails
I20231023000677 UT Practitioner - Dentist 1052767423 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13365962-8903UTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Utah Community Health Center CurrentSince Sep 10, 2023 Accepting new patients
Southwest Utah Community Health Center CurrentSince Sep 10, 2023 Accepting new patients
Southwest Utah Community Health Center Past Accepting new patients

Locations

245 E 680 S
Cedar City, UT 84720
Phone (435) 867-7654

2276 E Riverside Dr
St George, UT 84790
Phone (435) 986-2565

168 N 100 E
Ste 101
St George, UT 84770
Phone (435) 986-2565

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1508553793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 W OWEN DR",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847902694",
            "telephone_number": "385-312-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2276 E RIVERSIDE DR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902636",
            "telephone_number": "435-359-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "MCKAY",
        "middle_name": "M",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "13365962-8903",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "13365962-9923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.