Individual provider Active NPI

John Branson Chrispens, D.D.S.

  • Periodontics
  • Newport Beach, CA
National Provider Identifier
1740338276
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
D20614 Issued in CA
Practice address
2372 SE Bristol St
Suite a
Newport Beach, CA 92660-0755
Phone
(949) 833-2263
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X D20614 CA Primary

Addresses

Primary practice location

2372 SE Bristol St
Suite a
Newport Beach, CA 92660-0755

Mailing address

37 Marbella
Dana Point, CA 92629-4118
Phone (949) 240-2843

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
D20614CAMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740338276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 MARBELLA",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926294118",
            "telephone_number": "949-240-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2372 SE BRISTOL ST",
            "address_2": "SUITE A",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600755",
            "telephone_number": "949-833-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISPENS",
        "first_name": "JOHN",
        "middle_name": "BRANSON",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "D20614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.