Christopher T. Poulsen, DDS, PLLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

CHRISTOPHER T. POULSEN, DDS, PLLC

Doing business as

Post Falls Periodontics

Practice address

602 N Calgary CT
Suite #102
Post Falls, ID 83854-4000

Phone

(208) 777-1796

NPI assigned

Apr 25, 2014

Last updated

Apr 25, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christopher T Poulsen, D.D.S., M.S.

Title

Periodontist/Owner

Phone

(319) 541-6396

Specialties & licenses 1

Addresses

Other names 1

• Post Falls Periodontics 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, and the practitioner matching its NPPES authorized official.

• Joseph Karl McCombs, D.D.S.

  • Periodontics
  • Clinton, UT
  • NPI 1801122197
  NPD (past)

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1669892840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 N CALGARY CT",
            "address_2": "SUITE #102",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838544000",
            "telephone_number": "208-777-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N CALGARY CT",
            "address_2": "SUITE #102",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838544000",
            "telephone_number": "208-777-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER T. POULSEN, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-25",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "POULSEN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PERIODONTIST/OWNER",
        "authorized_official_telephone_number": "319-541-6396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Post Falls Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Periodontics in Post Falls, ID
• Providers in Post Falls, ID by specialty
• Periodontics in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.