NPIMap

Organization Active NPI

Dr. Tom Christie Family Dentistry PC

  • Dentist
  • Connersville, IN
National Provider Identifier
1962848473
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
100129090B Issued in IN
Legal business name
DR. TOM CHRISTIE FAMILY DENTISTRY PC
Practice address
2628 Western Ave
Connersville, IN 47331-1803
Phone
(765) 825-2941
Fax
(765) 827-5796
NPI assigned
May 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Authorized official

Name
Dr. John Thomas Christie, D.D.S.
Title
Owner/Dentist
Phone
(765) 825-2941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 100129090B IN Primary

Addresses

Primary practice location

2628 Western Ave
Connersville, IN 47331-1803

Mailing address

2628 Western Ave
Connersville, IN 47331-1803
Phone (765) 825-2941

National Provider Directory

National Provider Directory
Tax ID family
Christie Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2628 Western Ave
Connersville, IN 47331
Phone (765) 570-6185

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1962848473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2628 WESTERN AVE",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473311803",
            "telephone_number": "765-825-2941",
            "fax_number": "765-827-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2628 WESTERN AVE",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473311803",
            "telephone_number": "765-825-2941",
            "fax_number": "765-827-5796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TOM CHRISTIE FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-13",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "CHRISTIE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "765-825-2941",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "100129090B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Connersville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.