NPIMap

Organization Active NPI

Susan M Christensen DDS PC

  • General Practice Dentistry
  • Lincoln, NE
National Provider Identifier
1912172164
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4942 Issued in NE
Legal business name
SUSAN M CHRISTENSEN DDS PC
Practice address
5640 South St
Suite #1
Lincoln, NE 68506-2231
Phone
(402) 489-0787
Fax
(402) 489-1170
NPI assigned
Apr 29, 2008
Last updated
Apr 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Dr. Susan M Christensen, DDSNPI 1669566857
Title
Owner
Phone
(402) 489-0787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4942 NE Primary

Addresses

Primary practice location

5640 South St
Suite #1
Lincoln, NE 68506-2231

Mailing address

5640 South St
Suite #1
Lincoln, NE 68506-2231
Phone (402) 489-0787

Other identifiers 1

IdentifierTypeStateIssuer
100249491-00MedicaidNE

Other names 1

  • Eastview Family Dental Other name

National Provider Directory

National Provider Directory

Locations

5640 South St
Ste 1
Lincoln, NE 68506
Phone (402) 489-0787

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": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1912172164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 SOUTH ST",
            "address_2": "SUITE #1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062231",
            "telephone_number": "402-489-0787",
            "fax_number": "402-489-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 SOUTH ST",
            "address_2": "SUITE #1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062231",
            "telephone_number": "402-489-0787",
            "fax_number": "402-489-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN M CHRISTENSEN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-489-0787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "4942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100249491-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastview Family Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

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