Shaun Christensen, DMD, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D3588 Issued in ID

Legal business name

SHAUN CHRISTENSEN, DMD, PC

Practice address

155 S Midland Blvd
Nampa, ID 83686-2601

Phone

(208) 466-7424

Fax

(208) 466-7512

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Shaun Christensen, DMD

Title

Owner / Dentist

Phone

(208) 466-7424

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Middle Creek Dental Doing business as

Locations

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1790899409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 S MIDLAND BLVD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836862601",
            "telephone_number": "208-466-7424",
            "fax_number": "208-466-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 S MIDLAND BLVD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836862601",
            "telephone_number": "208-466-7424",
            "fax_number": "208-466-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAUN CHRISTENSEN, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "OWNER / DENTIST",
        "authorized_official_telephone_number": "208-466-7424",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D3588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806452800",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middle Creek Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alicia Rosita Shadle
• Joseph Clair Shafer
• Opal Michelle Shaffer, RN
• Megan A Shannahan, MS, SLP
• Erin Sharkey, MS
• Daniel D Shaw, PT
• Shelby Spangler Counseling
• Kailey Rose Sheldon
• Tiffany Shelton
• Aimee Elizabeth Shepard, FNP-C

• General Practice Dentistry in Nampa, ID
• Providers in Nampa, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.