Cody Lee Christline, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

61364 Issued in KS

Practice address

219 Earhart Cir
Lawrence, KS 66049-4739

Phone

(402) 499-5201

NPI assigned

Aug 12, 2009

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 KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Oral Surgery Kansas, LC

  • Oral and Maxillofacial Surgery (Dentist)
  • Lawrence, KS
  • NPI 1144304643
  NPD (past)

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1891927679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 EARHART CIR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494739",
            "telephone_number": "402-499-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 EARHART CIR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494739",
            "telephone_number": "402-499-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTLINE",
        "first_name": "CODY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-12",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KS",
            "license": "61364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Chitwood
• Robert A Christensen, D.C.
• Sara Ann Christensen
• Christi L Gilbert DPM PA
• Christian Psychological Services of Lawrence and Topeka Incorporated
• Christopher Ford, Lscsw, LLC
• Julie Ann Cisz, LSCSW
• City of Lawrence
• Taygan Claar
• Jordan Camilla Claeys, LMSW

• Oral and Maxillofacial Surgery (Dentist) in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Oral and Maxillofacial Surgery (Dentist) in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.