Individual provider Active NPI

Max Christensen, DDS

  • General Practice Dentistry
  • Soldotna, AK
National Provider Identifier
1629630306
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
175448 Issued in AK
Practice address
35657 Kenai Spur Hwy
Soldotna, AK 99669-7627
Phone
(907) 420-3938
NPI assigned
Jul 2, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11349973-8903 UT
General Practice Dentistry 1223G0001X 175448 AK Primary

Addresses

Primary practice location

35657 Kenai Spur Hwy
Soldotna, AK 99669-7627

Mailing address

35657 Kenai Spur Hwy
Soldotna, AK 99669-7627
Phone (907) 420-3938

Other practice location 1

211 E 840 S
Orem, UT 84058-5018
Phone (801) 375-9511

Other practice location 2

286 E 12200 S
Draper, UT 84020-7817
Phone (801) 201-9589

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
175448AKMDGeneral Practice Dentistry
11349973-8903UTMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1629630306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35657 KENAI SPUR HWY",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697627",
            "telephone_number": "907-420-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35657 KENAI SPUR HWY",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697627",
            "telephone_number": "907-420-3938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 E 840 S",
            "address_purpose": "LOCATION",
            "city": "Orem",
            "state": "UT",
            "postal_code": "840585018",
            "country_code": "US",
            "telephone_number": "801-375-9511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "286 E 12200 S",
            "address_purpose": "LOCATION",
            "city": "Draper",
            "state": "UT",
            "postal_code": "840207817",
            "country_code": "US",
            "telephone_number": "801-201-9589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "MAX",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-02",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "11349973-8903",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "175448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soldotna, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.