Kevin Roy Christiansen, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

D5856 Issued in OR

Practice address

4342 Liberty Rd S
Salem, OR 97302-6171

Phone

(503) 363-6500

Fax

(503) 363-6292

NPI assigned

Sep 9, 2005

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 OR

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

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.

• Salem Endodontic Associates

  • Endodontics
  • Salem, OR
  • NPI 1881969244
  NPD (past) Authorized official
• -

  • Endodontics
  • Salem, OR
  • NPI 1922647312
  NPD (past)

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1891789376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4342 LIBERTY RD S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973026171",
            "telephone_number": "503-363-6500",
            "fax_number": "503-363-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4342 LIBERTY RD S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973026171",
            "telephone_number": "503-363-6500",
            "fax_number": "503-363-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIANSEN",
        "first_name": "KEVIN",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OR",
            "license": "D5856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaleb Christensen
• Sadie Kay Christensen
• Christian Community Placement Center
• Christian Community Placement Center
• Christian Fauerso
• Charlotte Renae Christie
• Christina L Zampich a Professional Psych Corp
• Janice Sue Christodoulou, CADCII
• Christopher T Stevenson
• Joshua Dale Christopherson, DPT

• Endodontics in Salem, OR
• Providers in Salem, OR by specialty
• Endodontics in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.