Organization Active NPI

Christus Ventures PLLC

  • Dentist
  • Decatur, TX
National Provider Identifier
1538607205
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
25799 Issued in TX
Legal business name
CHRISTUS VENTURES PLLC
Practice address
2100 Reeves Rd
Decatur, TX 76234-3855
Phone
(940) 627-8400
Fax
(940) 627-8402
NPI assigned
Feb 2, 2017
Last updated
Feb 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Authorized official

Name
Dr. Christian Nwokorie, DMD
Title
Ceo
Phone
(347) 439-8901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 25799 TX Primary

Addresses

Primary practice location

2100 Reeves Rd
Decatur, TX 76234-3855

Mailing address

428 S Old Betsy Rd
Suite C
Keene, TX 76059-1411

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1538607205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 S OLD BETSY RD",
            "address_2": "SUITE C",
            "city": "KEENE",
            "state": "TX",
            "postal_code": "760591411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 REEVES RD",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343855",
            "telephone_number": "940-627-8400",
            "fax_number": "940-627-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTUS VENTURES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "NWOKORIE",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-439-8901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "25799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.