Active NPI
Brad Richard Christensen, D.M.D.
- Endodontics
- Brigham City, UT
National Provider Identifier
1922235639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 7999868-9922
- Practice address
- 1149 S 450 W
Suite 105
Brigham City, UT 84302-6707 - Phone
- (502) 681-7115
- NPI assigned
- Jun 20, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 8787 | KY | |
| Endodontics | 1223E0200X | 7999868-9922 | UT | Primary |
Addresses
Primary practice location
1149 S 450 W
Suite 105
Brigham City, UT 84302-6707
Mailing address
5880 Cassie Dr
South Ogden, UT 84405-4812
Phone (502) 681-7115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8787 | KY | MD | Endodontist |
| 7999868-9922 | UT | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312156800000",
"number": "1922235639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5880 CASSIE DR",
"city": "SOUTH OGDEN",
"state": "UT",
"postal_code": "844054812",
"telephone_number": "502-681-7115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1149 S 450 W",
"address_2": "SUITE 105",
"city": "BRIGHAM CITY",
"state": "UT",
"postal_code": "843026707",
"telephone_number": "502-681-7115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTENSEN",
"first_name": "BRAD",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-20",
"last_updated": "2011-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "KY",
"license": "8787",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "UT",
"license": "7999868-9922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brigham City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.