Gordon J. Christensen DDS PHD PC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

137010 Issued in UT

Legal business name

GORDON J. CHRISTENSEN DDS PHD PC

Practice address

3707 N Canyon Rd
Suite 4
Provo, UT 84604-4592

Phone

(801) 226-5315

Fax

(801) 655-1950

NPI assigned

Apr 12, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Misty Gayle Wilson, RDH

Title

Office Manager

Phone

(801) 226-5315

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1841654126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 N CANYON RD STE 4",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044587",
            "telephone_number": "801-226-5315",
            "fax_number": "801-655-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 N CANYON RD",
            "address_2": "SUITE 4",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044592",
            "telephone_number": "801-226-5315",
            "fax_number": "801-655-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON J. CHRISTENSEN DDS PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "GAYLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-226-5315",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "UT",
            "license": "137010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alahna Goodrich
• Miles Goodrich
• Angaleen Goodwin, P.T.
• Michelle Goodwin
• Carmen Gordichuk
• Christopher Gordon, D.O.
• Christopher R. Gordon, M.D.
• Robert James Gordon, SSW
• Jade Goring
• Andrew Jimin Gottfredson, DPT

• Prosthodontics in Provo, UT
• Providers in Provo, UT by specialty
• Prosthodontics in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.

Verify at the official NPI Registry.