Individual provider Active NPI

Kevin K Christensen, D.D.S.

  • General Practice Dentistry
  • Harrison, AR
National Provider Identifier
1508991365
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4136 Issued in AR
Practice address
1515 Rock Springs Rd
Harrison, AR 72601-8804
Phone
(870) 741-1060
Fax
(870) 741-4713
NPI assigned
Feb 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4136 AR Primary

Addresses

Primary practice location

1515 Rock Springs Rd
Harrison, AR 72601-8804

Mailing address

1515 Rock Springs Rd
Harrison, AR 72601-8804
Phone (870) 741-1060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4136ARMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Seneca Family Dentistry General Practice Past Accepting new patients
Rock Springs Dental, PLLC PastSince Jul 25, 2019 Accepting new patients
Kevin K. Christensen, D.D.S., P.a. Past Accepting new patients

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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1508991365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 ROCK SPRINGS RD",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726018804",
            "telephone_number": "870-741-1060",
            "fax_number": "870-741-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 ROCK SPRINGS RD",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726018804",
            "telephone_number": "870-741-1060",
            "fax_number": "870-741-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "KEVIN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "4136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.