NPIMap

Organization Active NPI

Matthew C. Christopher DDS PC

  • General Practice Dentistry
  • Union City, MI
National Provider Identifier
1912159302
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17573 Issued in MI
Legal business name
MATTHEW C. CHRISTOPHER DDS PC
Practice address
715 N Broadway St
Union City, MI 49094-1100
Phone
(571) 741-4565
Fax
(517) 741-8912
NPI assigned
Oct 16, 2008
Last updated
Oct 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Authorized official

Name
Mrs. Catherine S. Knauss
Title
Office Manager
Phone
(517) 741-4565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 17573 MI Primary

Addresses

Primary practice location

715 N Broadway St
Union City, MI 49094-1100

Mailing address

715 N Broadway St
Union City, MI 49094-1100
Phone (571) 741-4565

Other identifiers 1

IdentifierTypeStateIssuer
124325837MedicaidMI

National Provider Directory

National Provider Directory

Locations

715 N Broadway St
Union City, MI 49094
Phone (517) 741-3225

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1912159302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N BROADWAY ST",
            "city": "UNION CITY",
            "state": "MI",
            "postal_code": "490941100",
            "telephone_number": "571-741-4565",
            "fax_number": "517-741-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N BROADWAY ST",
            "city": "UNION CITY",
            "state": "MI",
            "postal_code": "490941100",
            "telephone_number": "571-741-4565",
            "fax_number": "517-741-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW C. CHRISTOPHER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "KNAUSS",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "517-741-4565",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "17573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124325837",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.