Christopherson Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CHRISTOPHERSON DENTAL LLC

Practice address

3064 S Business Dr
Sheboygan, WI 53081-6522

Phone

(920) 892-6961

NPI assigned

Jul 11, 2022

Organization subpart

No

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

Authorized official

Name

Abbey Christopherson

Title

Owner

Phone

(920) 892-6961

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Calen H Leider, D.D.S.

  • Dentist
  • Sheboygan, WI
  • NPI 1508203076
  NPD (past)

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1669106282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70887",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441900887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3064 S BUSINESS DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530816522",
            "telephone_number": "920-892-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHERSON DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-11",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "CHRISTOPHERSON",
        "authorized_official_first_name": "ABBEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-892-6961"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Children'S Service Society of Wisconsin
• William P Chleborad, MD
• Muniba Chohan
• Amy Lynn Choi, DDS
• April Choma, RN
• Aaron Lee Cicchese, OTR
• Katie Jo Cicchese, DPT
• Lynn Ann Cisewski, MS-CCC/SLP
• City of Sheboygan
• Amy Jo Clark, APNP

• General Practice Dentistry in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.