Individual provider Active NPI

Christian Merit Fortney, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Escondido, CA
National Provider Identifier
1548376957
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
45257 Issued in CA
Practice address
230 W 3Rd Ave
Escondido, CA 92025-4109
Phone
(760) 489-0330
Fax
(760) 489-1330
NPI assigned
Aug 21, 2006
Last updated
Aug 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 45257 CA Primary

Addresses

Primary practice location

230 W 3Rd Ave
Escondido, CA 92025-4109

Mailing address

230 W 3Rd Ave
Escondido, CA 92025-4109
Phone (760) 489-0330

Other practice location 1

955 Boardwalk Ste 202
San Marcos, CA 92078-2659
Phone (760) 489-0330

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
45257CAMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1548376957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W 3RD AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254109",
            "telephone_number": "760-489-0330",
            "fax_number": "760-489-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W 3RD AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254109",
            "telephone_number": "760-489-0330",
            "fax_number": "760-489-1330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "955 Boardwalk Ste 202",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "CA",
            "postal_code": "920782659",
            "country_code": "US",
            "telephone_number": "760-489-0330",
            "fax_number": "760-489-1330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORTNEY",
        "first_name": "CHRISTIAN",
        "middle_name": "MERIT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "45257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.