Individual provider Active NPI

Christopher Jacob Antee, DDS

  • Dentist
  • Jonesboro, LA
National Provider Identifier
1841991593
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7412 Issued in LA
Practice address
602 Pershing Hwy
Jonesboro, LA 71251-2040
Phone
(318) 259-4161
NPI assigned
Mar 10, 2023
Last updated
Jun 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7412 LA Primary

Addresses

Primary practice location

602 Pershing Hwy
Jonesboro, LA 71251-2040

Mailing address

188 Zodie Sims Rd
Calhoun, LA 71225
Phone (318) 243-4688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260218000699 LA Order and Referring Only - DentistPractitioner - Dentist 2769962737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7412LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jsa Dental, LLC Current Accepting new patients
Peach Tree Dental Jonesboro, L.L.C. PastSince Mar 12, 2023 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1841991593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 ZODIE SIMS RD",
            "city": "CALHOUN",
            "state": "LA",
            "postal_code": "71225",
            "telephone_number": "318-243-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 PERSHING HWY",
            "city": "JONESBORO",
            "state": "LA",
            "postal_code": "712512040",
            "telephone_number": "318-259-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTEE",
        "first_name": "CHRISTOPHER",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-06-05",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "7412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, LA

Sources for this page

Verify at the official NPI Registry.