Christopherson Family Dentistry LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

6947-015 Issued in WI

Legal business name

CHRISTOPHERSON FAMILY DENTISTRY LLC

Practice address

2901 Church St
Stevens Point, WI 54481-5210

Phone

(715) 344-9684

Fax

(715) 344-1684

NPI assigned

Apr 9, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Tyler Christopherson, DDS

Title

Owner/Dentist

Phone

(715) 344-9684

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Stephen Roelof Faber, DDS

  • General Practice Dentistry
  • Stevens Point, WI
  • NPI 1851406318
  NPD (past)

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

{
    "created_epoch": "1460160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460160000000",
    "number": "1982068508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 CHURCH ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544815210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 CHURCH ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544815210",
            "telephone_number": "715-344-9684",
            "fax_number": "715-344-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHERSON FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-09",
        "last_updated": "2016-04-09",
        "status": "A",
        "authorized_official_last_name": "CHRISTOPHERSON",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "715-344-9684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "license": "6947-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Chojnacki, LM
• Robert J Choudoir, PA
• Ashley Chrisinger
• Donna Y Christensen
• Alexis Lynn Christman, COTA
• Brad W. Christopherson, OD
• Tyler C Christopherson, DDS
• Cherie Cisewski
• Clara a. Cleve
• Clara A. Cleve, MSSW

• Dental Clinic/Center in Stevens Point, WI
• Providers in Stevens Point, WI by specialty
• Dental Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2016; 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.