John Wendell Christophe, D.D.S.
Individual provider Active NPI General Practice Dentistry · Alexandria, LA
NPI 1922059906 · NPPES record last updated Nov 1, 2024
Key facts
- NPI
- 1922059906
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 7629 (LA)
- Practice address
- 2235 Worley Dr
Alexandria, LA 71301-3631 - Phone
- (318) 613-4652
- Fax
- (318) 442-2493
- NPI assigned
- May 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61216943 | WA | MD | General Practice Dentistry |
| 4741-015 | WI | MD | General Practice Dentistry |
| 9307 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Howell David Jones III Apdc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7629 | LA | Yes |
| General Practice Dentistry | 1223G0001X | 4741-015 | WI | |
| General Practice Dentistry | 1223G0001X | 9307 | CO | |
| General Practice Dentistry | 1223G0001X | 20800 | TX | |
| General Practice Dentistry | 1223G0001X | 61216943 | WA |
Addresses
Primary practice location
2235 Worley Dr
Alexandria, LA 71301-3631
Mailing address
2235 Worley Dr
Alexandria, LA 71301-3631
Phone (303) 507-1287
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275830390 | Medicaid | TX |
Other providers in Alexandria, LA
- Choice Providers, LLC
- Choice Providers, LLC
- Choices of Louisiana, Alexandria LLC
- Christian J. Wold MD LLC
- Christina Brister, LLC
- Sandra M Christophe
- Christus Cabrini Surgery Center, LLC
- Christus Continuing Care
- Christus Continuing Care
- Christus Health Central Louisiana
All providers in Alexandria, LA · General Practice Dentistry in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.