Individual provider Active NPI

Susan M Christensen, DDS

  • General Practice Dentistry
  • Lincoln, NE
National Provider Identifier
1669566857
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4942 Issued in NE
Practice address
5640 South St
Suite #1
Lincoln, NE 68506-2231
Phone
(402) 489-0787
Fax
(402) 489-1170
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4942 NE Primary

Addresses

Primary practice location

5640 South St
Suite #1
Lincoln, NE 68506-2231

Mailing address

5640 South St
Suite #1
Lincoln, NE 68506-2231
Phone (402) 489-0787

Other identifiers 1

IdentifierTypeStateIssuer
100249491-00MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 3, 2016 through May 3, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4942NEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Susan M Christensen DDS PC General Practice Past Accepting new patients
Dental Professionals of Nebraska, PC General Practice PastSince Dec 3, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669566857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 SOUTH ST",
            "address_2": "SUITE #1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062231",
            "telephone_number": "402-489-0787",
            "fax_number": "402-489-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 SOUTH ST",
            "address_2": "SUITE #1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062231",
            "telephone_number": "402-489-0787",
            "fax_number": "402-489-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "SUSAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "4942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100249491-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.