Active NPI
Chase Kirk Christensen, DPM
- Podiatrist
- West Jordan, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 13244494-0501
- Practice address
- 3181 W 9000 S
West Jordan, UT 84088-5610 - Phone
- (801) 352-5900
- NPI assigned
- Jun 6, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 5951001364 | MI | |
| Podiatrist | 213E00000X | 13244494-0501 | UT | Primary |
Addresses
Primary practice location
3181 W 9000 S
West Jordan, UT 84088-5610
Mailing address
7181 S Campus View Dr
West Jordan, UT 84084-4312
Phone (801) 965-3600
Other practice location 1
1 Genesys Pkwy
Grand Blanc, MI 48439-8065
Phone (810) 696-6954
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240718004809 | OR | Practitioner - Podiatry | 2961825088 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1904 E Barnett Rd
Medford, OR 97504-8262
Phone 5417763338202
Hospital & facility affiliations
- Providence Medford Medical Center
- Asante Rogue Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 35 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 238 |
| Removal or shaving of skin growth | 158 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13244494-0501 | UT | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Oregon Foot & Ankle, LLC | Podiatrist | Current | Accepting new patients |
Locations
1904 E Barnett Rd
Medford, OR 97504
Phone (541) 776-3338
Organizations & group practices 1
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.
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Medford, OR
- NPI 1689755670
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680652800000",
"number": "1649894569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7181 S CAMPUS VIEW DR",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840844312",
"telephone_number": "801-965-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 W 9000 S",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840885610",
"telephone_number": "801-352-5900"
}
],
"practiceLocations": [
{
"address_1": "1 Genesys Pkwy",
"address_purpose": "LOCATION",
"city": "Grand Blanc",
"state": "MI",
"postal_code": "484398065",
"country_code": "US",
"telephone_number": "810-696-6954",
"fax_number": "810-606-5239",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHRISTENSEN",
"first_name": "CHASE",
"middle_name": "KIRK",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-06",
"last_updated": "2023-04-05",
"certification_date": "2023-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MI",
"license": "5951001364",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "UT",
"license": "13244494-0501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.