Mark Dwayne Christensen Sr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15137 Issued in TX

Practice address

6617 Precinct Line Rd, Suite 100
North Richland Hills, TX 76182

Phone

(817) 595-2458

Fax

(817) 590-2468

NPI assigned

Oct 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dental Star PLLC

  • Dental Clinic/Center
  • North Richland Hills, TX
  • NPI 1588308043
  NPD (past)
• Dr. Dillard & Associates, PLLC

  • General Practice Dentistry
  • North Richland Hills, TX
  • NPI 1902178668
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384905600000",
    "number": "1548340433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6617 PRECINCT LINE RD, SUITE 100",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "76182",
            "telephone_number": "817-595-2458",
            "fax_number": "817-590-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6617 PRECINCT LINE RD, SUITE 100",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "76182",
            "telephone_number": "817-595-2458",
            "fax_number": "817-590-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "MARK",
        "middle_name": "DWAYNE",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2013-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Chesnut, SLPA
• Lorin Cheung
• Samantha Cheyenne Childress, DPT
• Jungjoo Choi
• Christ Centered Care Corporation
• City of North Richland Hills
• City Point Chiropractic, LLC
• Clarity Evaluators. LLC
• Clarity Neuropsychology, LLC
• Ezell Clark, LCSW

• General Practice Dentistry in North Richland Hills, TX
• Providers in North Richland Hills, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.