Kyle S Christensen, DDS, PC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

KYLE S CHRISTENSEN, DDS, PC

Practice address

1268 W South Jordan Pkwy
Suite 200
South Jordan, UT 84095-4652

Phone

(801) 561-8088

Fax

(801) 562-8286

NPI assigned

Jul 27, 2007

Organization subpart

No

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

Authorized official

Name

Kyle S Christensen, D.D.S.

Title

Owner

Phone

(801) 561-8088

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Wasatch Oral Surgery Doing business as

Locations

Practitioners 1

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

• Patrick Brain, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Sandy, UT
  • NPI 1689793994
  NPD (past)

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1669662425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 W SOUTH JORDAN PKWY",
            "address_2": "SUITE 200",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954652",
            "telephone_number": "801-561-8088",
            "fax_number": "801-562-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 W SOUTH JORDAN PKWY",
            "address_2": "SUITE 200",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954652",
            "telephone_number": "801-561-8088",
            "fax_number": "801-562-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLE S CHRISTENSEN, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-561-8088",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "550719194003",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wasatch Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Elizabeth Krauskopf, PH.D.
• Kristen C. Krueger, D.C.
• Karoleena Juliet Krypel, PT, DPT
• Krystal Christensen Massage Therapy, LLC
• Sara J Kunze, NP
• Jim Ladle, PA-C
• Charlene Donne Laluk, LMT
• Toni V Lamalfa, CNM
• Amanda Langton
• Katherine Larochelle

• Oral & Maxillofacial Surgery (D.M.D.) in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.