NPIMap

Organization Active NPI

Edward a. Christensen, D.D.S., P.C.

  • Pediatric Dentistry
  • Thornton, CO
National Provider Identifier
1538447909
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
7666 Issued in CO
Legal business name
EDWARD A. CHRISTENSEN, D.D.S., P.C.
Doing business as
Foothills Pediatric Dentistry PC
Practice address
2750 E 136TH Ave Ste 100
Thornton, CO 80241-3530
Phone
(303) 452-9502
Fax
(720) 583-0404
NPI assigned
Aug 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Authorized official

Name
Kimber Barney
Title
Office Manager
Phone
(303) 604-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 7666 CO Primary

Addresses

Primary practice location

2750 E 136TH Ave Ste 100
Thornton, CO 80241-3530

Mailing address

2750 E 136TH Ave
#100
Thornton, CO 80602-9107
Phone (303) 604-9500

Other identifiers 1

IdentifierTypeStateIssuer
31453261MedicaidCO

Other names 1

  • Foothills Pediatric Dentistry PC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Edward a Christensen DDS PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2750 E 136th Ave
#3100
Thornton, CO 80241

NPI Registry JSON

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1538447909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 E 136TH AVE",
            "address_2": "#100",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "806029107",
            "telephone_number": "303-604-9500",
            "fax_number": "303-604-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 E 136TH AVE STE 100",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802413530",
            "telephone_number": "303-452-9502",
            "fax_number": "720-583-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD A. CHRISTENSEN, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-02",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "BARNEY",
        "authorized_official_first_name": "KIMBER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "303-604-9500"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "7666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31453261",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foothills Pediatric Dentistry PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Foothills Pediatric Dentistry PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.