Edward A. Christensen, D.D.S

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

7666 Issued in CO

Practice address

1120 W South Boulder Rd
Suite 204
Lafayette, CO 80026-8951

Phone

(303) 604-9500

NPI assigned

Nov 1, 2006

Last updated

May 10, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1689751802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 W SOUTH BOULDER RD",
            "address_2": "SUITE 102",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262854",
            "telephone_number": "303-604-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W SOUTH BOULDER RD",
            "address_2": "SUITE 204",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800268951",
            "telephone_number": "303-604-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "EDWARD",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "7666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02076669",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Choices in Health, PC
• Julio Tian-Fa Chong, MD
• Kwong-Hon Chow, MD, PHD
• Larry Chrisman, D.C.
• Candice Christensen, MA, CCC-SLP
• Kate Christensen
• Eric T Christiansen
• Christina Sphar Therapy, LLC
• Maureen Christopher, RN
• Christine R Chung, L.AC.

• Pediatric Dentistry in Lafayette, CO
• Providers in Lafayette, CO by specialty
• Pediatric Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.