Individual provider Active NPI

Christopher Norbert Modjeski, DDS, CAGS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Salinas, CA
National Provider Identifier
1801948922
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
53685 Issued in CA
Practice address
224 San Jose St # 3
Salinas, CA 93901-3931
Phone
(831) 758-1672
Fax
(831) 758-1137
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 53685 CA Primary

Addresses

Primary practice location

224 San Jose St # 3
Salinas, CA 93901-3931

Mailing address

224 San Jose St # 3
Salinas, CA 93901-3931
Phone (831) 758-1672

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

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1801948922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 SAN JOSE ST # 3",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013931",
            "telephone_number": "831-758-1672",
            "fax_number": "831-758-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 SAN JOSE ST # 3",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013931",
            "telephone_number": "831-758-1672",
            "fax_number": "831-758-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODJESKI",
        "first_name": "CHRISTOPHER",
        "middle_name": "NORBERT",
        "name_prefix": "Dr.",
        "credential": "DDS, CAGS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "53685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.