Individual provider Active NPI

Christopher Steffenson, DDS

  • General Practice Dentistry
  • Walker, MN
National Provider Identifier
1730616731
Registry record updated May 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D13815 Issued in MN
Practice address
108 Michigan Ave West
Walker, MN 56484
Phone
(218) 547-1854
NPI assigned
May 22, 2017
Last updated
May 22, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D13815 MN Primary

Addresses

Primary practice location

108 Michigan Ave West
Walker, MN 56484

Mailing address

836 Lakeshore Blvd W
Onamia, MN 56359-2801
Phone (320) 360-2967

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

State licenses

LicenseStateTypeSpecialty
D13815MNMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495411200000",
    "number": "1730616731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 LAKESHORE BLVD W",
            "city": "ONAMIA",
            "state": "MN",
            "postal_code": "563592801",
            "telephone_number": "320-360-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MICHIGAN AVE WEST",
            "city": "WALKER",
            "state": "MN",
            "postal_code": "56484",
            "telephone_number": "218-547-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFFENSON",
        "first_name": "CHRISTOPHER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-22",
        "last_updated": "2017-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D13815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walker, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2017; 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.