Individual provider Active NPI

Benjamin Christensen, DMD

  • Dentist
  • Ogden, UT
National Provider Identifier
1780083824
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9067932-9921 Issued in UT
Practice address
5742 Adams Ave Pkwy
Ogden, UT 84405
Phone
(801) 621-3383
Fax
(801) 475-4014
NPI assigned
Aug 14, 2014
Last updated
Feb 7, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9067932-9921 UT Primary

Addresses

Primary practice location

5742 Adams Ave Pkwy
Ogden, UT 84405

Mailing address

5742 Adams Ave Pkwy
Ogden, UT 84405-7157
Phone (801) 621-3383

Other practice location 1

1067 Twining Dr
Barksdale AFB, LA 71110-2486
Phone (318) 456-6772

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
9067932-9921UTMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1780083824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5742 ADAMS AVE PKWY",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844057157",
            "telephone_number": "801-621-3383",
            "fax_number": "801-475-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5742 ADAMS AVE PKWY",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "84405",
            "telephone_number": "801-621-3383",
            "fax_number": "801-475-4014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1067 Twining Dr",
            "address_purpose": "LOCATION",
            "city": "Barksdale AFB",
            "state": "LA",
            "postal_code": "711102486",
            "country_code": "US",
            "telephone_number": "318-456-6772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-14",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "9067932-9921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; 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.