Organization Active NPI

Christensen Family Dentistry

  • General Practice Dentistry
  • Mesa, AZ
National Provider Identifier
1720307259
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CHRISTENSEN FAMILY DENTISTRY
Practice address
560 N Stapley Dr
Ste 2
Mesa, AZ 85203-7320
Phone
(480) 964-2131
Fax
(480) 964-7334
NPI assigned
May 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Authorized official

Name
Dr. Leo B Christensen, DDSNPI 1396064895
Title
Owner
Phone
(317) 670-9090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

560 N Stapley Dr
Ste 2
Mesa, AZ 85203-7320

Mailing address

560 N Stapley Dr
Ste 2
Mesa, AZ 85203-7320
Phone (480) 964-2131

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1720307259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 N STAPLEY DR",
            "address_2": "STE 2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852037320",
            "telephone_number": "480-964-2131",
            "fax_number": "480-964-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 N STAPLEY DR",
            "address_2": "STE 2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852037320",
            "telephone_number": "480-964-2131",
            "fax_number": "480-964-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTENSEN FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-24",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-670-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; 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.