Christine Sirna Bode

Primary specialty

DentistTaxonomy code 122300000X

License

6118 Issued in AL

Practice address

42D Medical Group
300 Twining St BLDG 760
Maxwell Afb, AL 36112

Phone

(334) 953-3368

Fax

(334) 953-8607

NPI assigned

Mar 17, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1811313653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "UNIT 3690",
            "city": "APO",
            "state": "AE",
            "postal_code": "091263690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42D MEDICAL GROUP",
            "address_2": "300 TWINING ST BLDG 760",
            "city": "MAXWELL AFB",
            "state": "AL",
            "postal_code": "36112",
            "telephone_number": "334-953-3368",
            "fax_number": "334-953-8607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Unit 3690",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AE",
            "postal_code": "091263690",
            "country_code": "US",
            "telephone_number": "314-452-8193",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "BODE",
        "first_name": "CHRISTINE",
        "middle_name": "SIRNA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-17",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "6118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Bagorio, RDH
• Valeri Marie Bennett, MSW, LCSW
• Lydia Price Beringer, M.S CCC/SLP
• Erlinda Padua Bhat, N.P.
• Phillip Wayne Blaich, PA-C
• Rebecca Katherine Brincks, DDS
• Heather Marie Brooks, DDS
• Megan Bryant
• John Campbell Jr.
• Lauren Candee, PA-C

• Dentist in Maxwell Afb, AL
• Providers in Maxwell Afb, AL by specialty
• Dentist in Alabama

• 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.