Gavin Cotant Christensen, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D7726 Issued in AZ

Practice address

6750 N 19TH Ave
Phoenix, AZ 85015-1127

Phone

(602) 242-5741

NPI assigned

Mar 19, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Gilbert Kidtastic Dental LLC

  • Pediatric Dentistry
  • Gilbert, AZ
  • NPI 1497396170
  NPD (past)
• Higley Village Kidtastic, LLC

  • Pediatric Dentistry
  • Gilbert, AZ
  • NPI 1447598495
  NPD (past)

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1861663635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2648 E GERONIMO ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951210",
            "telephone_number": "480-239-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151127",
            "telephone_number": "602-242-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "GAVIN",
        "middle_name": "COTANT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-19",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "UT",
            "license": "9838133-9923",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D7726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobbi Christensen, FNP-C
• Carileigh Grace Christensen, RN
• Cathy Christensen
• Donald Owen Christensen, D.O.
• Dorothy Tauhlee Christensen, B.S.
• Karen Christensen, LPC
• Kaylene M Christensen, PT, DPT, ATC
• Logan Christensen, PT, DPT
• Mackenzie Nicole Christensen
• Megan Marie Christensen, M.S., R.D.

• Pediatric Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pediatric Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.