Individual provider Active NPI

David M. Christensen, MD

  • Orthopaedic Surgery Physician
  • Fruitland, ID
National Provider Identifier
1922041961
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
M-9086 Issued in ID
Practice address
910 NW 16TH St Ste 205
Fruitland, ID 83619-2265
Phone
(208) 452-8100
Fax
(208) 452-8111
NPI assigned
Jun 14, 2006
Last updated
Sep 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X M-9086 ID Primary
Orthopaedic Surgery of the Spine Physician 207XS0117X M-9086 ID

Addresses

Primary practice location

910 NW 16TH St Ste 205
Fruitland, ID 83619-2265

Mailing address

PO Box 190930
Boise, ID 83719-0930
Phone (208) 367-5170

Other practice location 1

1411 Falls Ave E
Suite 1301
Twin Falls, ID 83301-3455
Phone (208) 732-0067

Other identifiers 4

IdentifierTypeStateIssuer
P00190924OtherIDRR MEDICARE
807012400MedicaidID
000010148683OtherIDBLUE SHIELD
71753OtherIDBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041006000816 ID Practitioner - Orthopedic Surgery 1052370913 Reassigns benefits to 3 organizations
I20240918001550 OR Practitioner - Orthopedic Surgery 1052370913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Washington School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1050 SW 3Rd Ave
Suite 1600
Ontario, OR 97914-4552
Phone (541) 881-2360

351 SW 9TH St
Ontario, OR 97914-2639
Phone (541) 881-7000

4300 E Flamingo Ave
Nampa, ID 83687-3138
Phone (208) 205-1000

910 NW 16TH St
Fruitland, ID 83619-2265

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement16
Spinal fusion17
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M-9086IDMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Teton Valley Health Care Inc Orthopaedic Surgery Current Accepting new patients
Teton Valley Health Care, Inc CurrentSince Nov 1, 2022 Accepting new patients
Saint Alphonsus Medical Center- Ontario Inc CurrentSince Oct 15, 2024 Accepting new patients
Surgery Center CurrentSince Sep 3, 2021 Accepting new patients
Saint Alphonsus Medical Center- Ontario Inc CurrentSince Oct 15, 2024 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Oct 15, 2024 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Oct 15, 2024 Accepting new patients
Teton Valley Health Care, Inc Orthopaedic Surgery CurrentSince Nov 1, 2022 Accepting new patients
Saint Alphonsus Medical Center- Ontario Inc CurrentSince Oct 15, 2024 Accepting new patients
Magic Valley Regional Medical Center Past Accepting new patients

Locations

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

120 E Howard St
Driggs, ID 83422
Phone (208) 354-2302

910 NW 16th St
Ste 101
Fruitland, ID 83619
Phone (208) 452-8000

910 NW 16th St
Ste 205
Fruitland, ID 83619
Phone (208) 452-3111

3025 W Cherry Ln
Meridian, ID 83642
Phone (208) 302-6400

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

115 Falls Ave W
Twin Falls, ID 83301
Phone (208) 732-8784

1050 SW 3rd Ave
Ste 1600
Ontario, OR 97914
Phone (541) 881-2360

1050 SW 3rd Ave
Ste 2600
Ontario, OR 97914
Phone (541) 881-1601

Interoperability endpoints

  • Direct secure messaging: david.christensen.1@7955.direct.athenahealth.com
  • Direct secure messaging: dchristensen3666433@direct.trinity-health.org
  • FHIR API: https://api.platform.athenahealth.com/7955/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1922041961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190930",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837190930",
            "telephone_number": "208-367-5170",
            "fax_number": "208-367-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 NW 16TH ST STE 205",
            "city": "FRUITLAND",
            "state": "ID",
            "postal_code": "836192265",
            "telephone_number": "208-452-8100",
            "fax_number": "208-452-8111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1411 Falls Ave E",
            "address_2": "Suite 1301",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833013455",
            "country_code": "US",
            "telephone_number": "208-732-0067",
            "fax_number": "208-732-3195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "DAVID",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ID",
            "license": "M-9086",
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "ID",
            "license": "M-9086",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00190924",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807012400",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010148683",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "71753",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fruitland, ID

Sources for this page

Verify at the official NPI Registry.