Christopher Michael Fanelli, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

127399519922 Issued in UT

Practice address

5677 S 1475 E Ste 2a
South Ogden, UT 84403-7003

Phone

(801) 479-9800

NPI assigned

Jun 29, 2022

Last updated

Jun 29, 2022By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Fanelli Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • South Ogden, UT
  • NPI 1295508463
  NPD Authorized official
• Lance a. Albrechtsen, DDS, Ms, Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • South Ogden, UT
  • NPI 1720379555
  NPD (past)

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1902538853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 SPENCER WAY UNIT 1",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840253229",
            "telephone_number": "717-725-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5677 S 1475 E STE 2A",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844037003",
            "telephone_number": "801-479-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 N State St Ste A",
            "address_purpose": "LOCATION",
            "city": "Morgan",
            "state": "UT",
            "postal_code": "840509903",
            "country_code": "US",
            "telephone_number": "801-479-9800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2850 N 2000 W",
            "address_purpose": "LOCATION",
            "city": "Farr West",
            "state": "UT",
            "postal_code": "844049219",
            "country_code": "US",
            "telephone_number": "801-479-9800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FANELLI",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "UT",
            "license": "127399519922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Elzey, DPT
• Eos Serenity Lodge
• Taylor Paul Ericksen, D.M.D.
• Madeline Evans
• Fanelli Orthodontics PLLC
• Jacqueline Ferguson, RBT
• Randy Ferrin, RN
• Firefly Holistics PLLC
• Roxina Fischer, FNP-C
• Ford & Draper Dental LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in South Ogden, UT
• Providers in South Ogden, UT by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.