Chad Christiansen, MD, LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

7471541-1205 Issued in UT

Legal business name

CHAD CHRISTIANSEN, MD, LLC

Practice address

3191 N Canyon Rd
Provo, UT 84604-3916

Phone

(801) 712-7328

NPI assigned

May 23, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Chad K Christiansen, MD

Title

Owner/Physician

Phone

(801) 712-7328

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1518304088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3191 N CANYON RD",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043916",
            "telephone_number": "801-712-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3191 N CANYON RD",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043916",
            "telephone_number": "801-712-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD CHRISTIANSEN, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "CHRISTIANSEN",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "801-712-7328",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "UT",
            "license": "7471541-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.