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

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

EDWARD A. CHRISTENSEN, D.D.S, P.C.

Practice address

916 S Main St Unit 302
Longmont, CO 80501-6672

Phone

(303) 702-9501

Fax

(303) 532-2275

NPI assigned

Aug 6, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Foothills Pediatric Dentistry, P.C. Former legal business name

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.

• Edward a. Christensen, D.D.S, P.C.

  dba Foothills Pediatric Dentistry, P.C.

  • Pediatric Dentistry
  • Lafayette, CO
  • NPI 1720279193
  NPD tax ID
• Edward a. Christensen, D.D.S., P.C.

  dba Foothills Pediatric Dentistry PC

  • Pediatric Dentistry
  • Thornton, CO
  • NPI 1538447909
  NPD tax ID

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1619168507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 S. MAIN STREET",
            "address_2": "#302",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "80501",
            "telephone_number": "303-702-9501",
            "fax_number": "303-532-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 S MAIN ST UNIT 302",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016672",
            "telephone_number": "303-702-9501",
            "fax_number": "303-532-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD A. CHRISTENSEN, D.D.S, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2022-07-21",
        "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": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06439063",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foothills Pediatric Dentistry, P.C.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Foothills Pediatric Dentistry, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Daren Eccles, DPT
• Echelon Medical, LLC
• Allison Eckmann, MA, LPC, ATR-BC
• Edge Medical Services
• Tyler J Edmond, MD
• Adrienne Edwards-Goodbee, NP
• Chase Edwards, D.D.S.
• Jeanne Edwards
• Rachel Edwards
• Niquole Kelly Egan-Ramirez, ABOC

• Pediatric Dentistry in Longmont, CO
• Providers in Longmont, CO by specialty
• Pediatric Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.