Active NPI
Christensen Family Dentistry
- General Practice Dentistry
- Mesa, AZ
National Provider Identifier
1720307259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leo B Christensen, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryPractitioners & 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.
-
- General Practice Dentistry
- Mesa, AZ
- NPI 1396064895
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.