Grant Michael Christman

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

109242 Issued in CA

Practice address

40705 Winchester Rd # A103
Temecula, CA 92591-5516

Phone

(951) 252-6001

NPI assigned

Sep 4, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1851177075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40705 WINCHESTER RD # A103",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40705 WINCHESTER RD # A103",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915516",
            "telephone_number": "951-252-6001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31754 Temecula Pkwy Ste E",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925926805",
            "country_code": "US",
            "telephone_number": "951-694-5255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTMAN",
        "first_name": "GRANT",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "109242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Choice Physical Therapy Inc
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• Ashley Christian
• Christine Tracy G. Castro, DMD, Inc.
• Terral M Christopher II
• Nora D. Christuski
• Chu and Watanabe Dental Corporation
• Franklin Teh- Sun Chu, DMD
• Stephen Chian Hong Chua

• General Practice Dentistry in Temecula, CA
• Providers in Temecula, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.