Active NPI
Christopher G Maliken, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Camp Lejeune, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 10870
- Practice address
- 100 Brewster Blvd
Camp Lejeune, NC 28547-2575 - Phone
- (910) 450-4740
- NPI assigned
- May 10, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 9597 | SC | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 10870 | NC | Primary |
Addresses
Primary practice location
100 Brewster Blvd
Camp Lejeune, NC 28547-2575
Mailing address
163 Marina Wynd Way
Sneads Ferry, NC 28460-9104
Phone (716) 208-4828
Other practice location 1
3210 Silas Creek Pkwy # 4
Winston Salem, NC 27103-3009
Phone (336) 724-1235
Other practice location 2
620 John Paul Jones Cir
Dental/Oral Surgery
Portsmouth, VA 23708-2111
Phone (716) 208-4828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Sep 6, 2022 through Sep 6, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10870 | NC | MD | Oral and Maxillofacial Surgery (Dentist) |
| 9597 | SC | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. R Edward Mooring Jr. & Associates, PA | Past | Accepting new patients | |
| DRS Farrell, Farrell, Nale, Cook, Kapitan, Mohamed, Franco, Wessel, Ho | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba DentalWorks
- General Practice Dentistry
- Winston Salem, NC
- NPI 1760452254
-
dba Carolinas Center For Oral And Facial Surgery
- Oral & Maxillofacial Surgery (D.M.D.)
- Charlotte, NC
- NPI 1972554186
Oral and Maxillofacial Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593993600000",
"number": "1811332331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 MARINA WYND WAY",
"city": "SNEADS FERRY",
"state": "NC",
"postal_code": "284609104",
"telephone_number": "716-208-4828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BREWSTER BLVD",
"city": "CAMP LEJEUNE",
"state": "NC",
"postal_code": "285472575",
"telephone_number": "910-450-4740"
}
],
"practiceLocations": [
{
"address_1": "3210 Silas Creek Pkwy # 4",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271033009",
"country_code": "US",
"telephone_number": "336-724-1235",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "620 John Paul Jones Cir",
"address_2": "Dental/Oral Surgery",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "VA",
"postal_code": "237082111",
"country_code": "US",
"telephone_number": "716-208-4828",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALIKEN",
"first_name": "CHRISTOPHER",
"middle_name": "G",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-10",
"last_updated": "2020-07-06",
"certification_date": "2020-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "SC",
"license": "9597",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NC",
"license": "10870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camp Lejeune, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.