Active NPI
Christina Elaine Dewey, M.D.
- Pediatrics Physician
- Minneapolis, MN
National Provider Identifier
1700858487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 43301
- Practice address
- 4500 Xerxes Ave S
Minneapolis, MN 55410-1419 - Phone
- (612) 730-9300
- Fax
- (612) 500-4813
- NPI assigned
- Feb 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 43301 | MN | Primary |
Addresses
Primary practice location
4500 Xerxes Ave S
Minneapolis, MN 55410-1419
Mailing address
4500 Xerxes Ave S
Minneapolis, MN 55410-1419
Phone (612) 730-9300
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142968 | Other | MN | UCARE |
| 295J4HI | Other | MN | BLUE CROSS BLUE SHIELD |
| 051614700 | Medicaid | MN | |
| 1202287 | Other | MN | MEDICA |
| CP9041032171 | Other | MN | PREFERRED ONE |
Other names 1
- Christina Elaine Hinman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43301 | MN | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1700858487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 XERXES AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554101419",
"telephone_number": "612-730-9300",
"fax_number": "612-500-4813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 XERXES AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554101419",
"telephone_number": "612-730-9300",
"fax_number": "612-500-4813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEWEY",
"first_name": "CHRISTINA",
"middle_name": "ELAINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-06",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MN",
"license": "43301",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "142968",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "295J4HI",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051614700",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "1202287",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "CP9041032171",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINA",
"last_name": "HINMAN",
"middle_name": "ELAINE",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.