Active NPI
Christopherson & Caldwell Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Grand Rapids, MI
National Provider Identifier
1922407584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 2901011536
- Legal business name
- CHRISTOPHERSON & CALDWELL ORTHODONTICS
- Practice address
- 3875 Burton St SE
Grand Rapids, MI 49546-5816 - Phone
- (616) 949-7510
- Fax
- (616) 949-6051
- NPI assigned
- Aug 20, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Christopherson, D.D.S., M.S.
- Title
- President
- Phone
- (616) 949-7510
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 2901011536 | MI | Primary |
Addresses
Primary practice location
3875 Burton St SE
Grand Rapids, MI 49546-5816
Mailing address
3875 Burton St SE
Grand Rapids, MI 49546-5816
National Provider Directory
National Provider DirectoryLocations
3875 Burton St SE
Grand Rapids, MI 49546
Phone (616) 949-7510
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Grand Rapids, MI
- NPI 1295934545
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Grand Rapids, MI
- NPI 1821119918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408492800000",
"number": "1922407584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3875 BURTON ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495465816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3875 BURTON ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495465816",
"telephone_number": "616-949-7510",
"fax_number": "616-949-6051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTOPHERSON & CALDWELL ORTHODONTICS",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-20",
"last_updated": "2014-08-20",
"status": "A",
"authorized_official_last_name": "CHRISTOPHERSON",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "616-949-7510",
"authorized_official_credential": "D.D.S., M.S."
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MI",
"license": "2901011536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.