Active NPI
Christopher Tyler Lund, DDS
- General Practice Dentistry
- Fort Sam Houston, TX
National Provider Identifier
1841585445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D12959
- Practice address
- 1811 Army Blvd
USA Dental Activity
Fort Sam Houston, TX 78234 - Phone
- (210) 221-0835
- NPI assigned
- Jun 13, 2011
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | D12959 | MN | |
| General Practice Dentistry | 1223G0001X | D12959 | MN | Primary |
Addresses
Primary practice location
1811 Army Blvd
USA Dental Activity
Fort Sam Houston, TX 78234
Mailing address
2940 Stanley Rd., Suite 2375
Rhoades Dental Clinic
Ft. Sam Houston, TX 78254
Phone (210) 808-6184
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
| License | State | Type | Specialty |
|---|---|---|---|
| D12959 | MN | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472169600000",
"number": "1841585445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2940 STANLEY RD., SUITE 2375",
"address_2": "RHOADES DENTAL CLINIC",
"city": "FT. SAM HOUSTON",
"state": "TX",
"postal_code": "78254",
"telephone_number": "210-808-6184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1811 ARMY BLVD",
"address_2": "USA DENTAL ACTIVITY",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "78234",
"telephone_number": "210-221-0835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUND",
"first_name": "CHRISTOPHER",
"middle_name": "TYLER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-13",
"last_updated": "2016-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D12959",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "D12959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.