Individual provider Active NPI

Jacob Carl Christensen, DDS

  • General Practice Dentistry
  • Wasilla, AK
National Provider Identifier
1972439172
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
256265 Issued in AK
Practice address
2101 E Sun Mountain Ave Ste 107
Wasilla, AK 99654-7377
Phone
(208) 715-0687
Fax
(907) 357-5758
NPI assigned
Jun 23, 2026
Last updated
Jun 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 256265 AK Primary

Addresses

Primary practice location

2101 E Sun Mountain Ave Ste 107
Wasilla, AK 99654-7377

Mailing address

2101 E Sun Mountain Ave Ste 107
Wasilla, AK 99654-7377
Phone (208) 715-0687

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

NPI Registry JSON

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

{
    "created_epoch": "1782172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1972439172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 E SUN MOUNTAIN AVE STE 107",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547377",
            "telephone_number": "208-715-0687",
            "fax_number": "907-357-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 E SUN MOUNTAIN AVE STE 107",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547377",
            "telephone_number": "208-715-0687",
            "fax_number": "907-357-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "JACOB",
        "middle_name": "CARL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-06-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "256265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.