Active NPI
Rena J. Christman, DMD
- Dentist
- Chippewa Falls, WI
National Provider Identifier
1689923898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6936-15
- Practice address
- 2509 County Highway I
Chippewa Falls, WI 54729-1422 - Phone
- (715) 403-4535
- Fax
- (715) 726-1066
- NPI assigned
- Sep 4, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6936-15 | WI | Primary |
Addresses
Primary practice location
2509 County Highway I
Chippewa Falls, WI 54729-1422
Mailing address
2509 County Hwy I
Chippewa, WI 54729
Phone (715) 403-4535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150522001392 | WI | Order and Referring Only - Other (Physician) | 5395065833 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6936-15 | WI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346716800000",
"number": "1689923898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2509 COUNTY HWY I",
"city": "CHIPPEWA",
"state": "WI",
"postal_code": "54729",
"telephone_number": "715-403-4535",
"fax_number": "715-726-1066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2509 COUNTY HIGHWAY I",
"city": "CHIPPEWA FALLS",
"state": "WI",
"postal_code": "547291422",
"telephone_number": "715-403-4535",
"fax_number": "715-726-1066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTMAN",
"first_name": "RENA",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-04",
"last_updated": "2012-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "6936-15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chippewa Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.