Chad Christiansen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1541 Issued in WY

Practice address

2120 Logan Ave
Cheyenne, WY 82001-4131

Phone

(307) 638-8071

NPI assigned

Jun 22, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Sunlight Dental

  • Dental Clinic/Center
  • Cheyenne, WY
  • NPI 1912642604
  NPD Authorized official
• Lifesmiles of Sidney

  • General Practice Dentistry
  • Sidney, NE
  • NPI 1932477882
  NPD (past)

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1578083465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 LOGAN AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014131",
            "telephone_number": "307-638-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 LOGAN AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014131",
            "telephone_number": "307-638-8071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIANSEN",
        "first_name": "CHAD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-22",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "7397",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WY",
            "license": "1541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brant R Christensen, AU.D.
• Conner John Christensen, D.D.S.
• Scott Douglas Christensen
• Gregory Thomas Christian, MD
• Ashley Christiansen
• Christine J Christiansen, LAT
• James Clark Christiansen
• John Clark Christiansen, DDS
• Christina Anderson RDN LLC
• Michael A Christoffersen

• General Practice Dentistry in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• General Practice Dentistry in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.