Samuel W. Christensen

Primary specialty

DentistTaxonomy code 122300000X

License

53776 Issued in CA

Legal business name

SAMUEL W. CHRISTENSEN

Doing business as

Redwood Dental

Practice address

390 S Green Valley Rd Ste 5
Watsonville, CA 95076-3077

Phone

(831) 722-1432

Fax

(831) 722-7861

NPI assigned

Oct 13, 2016

Organization subpart

Yes

Parent organization

SAMUEL W CHRISTENSENAs reported in NPPES

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

Authorized official

Name

Dr. Samuel Wesley Christensen, 53776

Title

Dentist

Phone

(831) 722-1432

Specialties & licenses 1

Addresses

Other names 1

• Redwood Dental Doing business as

Part of

Samuel W Christensen

Locations

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1740730704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 S GREEN VALLEY RD STE 5",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763077",
            "telephone_number": "831-722-1432",
            "fax_number": "831-722-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 S GREEN VALLEY RD STE 5",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763077",
            "telephone_number": "831-722-1432",
            "fax_number": "831-722-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL W. CHRISTENSEN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAMUEL W CHRISTENSEN",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "831-722-1432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "53776"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "53776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redwood Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Watsonville, CA
• Providers in Watsonville, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.