Individual provider Active NPI

Morgan K Christianson, RDH

  • Dental Hygienist
  • Madison, WI
National Provider Identifier
1982952701
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
11284 Issued in WI
Practice address
4706 Cottage Grove Rd.
Ste. 400
Madison, WI 53716-1354
Phone
(608) 268-1700
Fax
(860) 201-1700
NPI assigned
Aug 28, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 11284 WI Primary

Addresses

Primary practice location

4706 Cottage Grove Rd.
Ste. 400
Madison, WI 53716-1354

Mailing address

4706 Cottage Grove Rd.
Ste. 400
Madison, WI 53716-1354
Phone (608) 268-1700

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

LicenseStateTypeSpecialty
11284WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
CGR Dental, SC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1982952701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4706 COTTAGE GROVE RD.",
            "address_2": "STE. 400",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537161354",
            "telephone_number": "608-268-1700",
            "fax_number": "860-201-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4706 COTTAGE GROVE RD.",
            "address_2": "STE. 400",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537161354",
            "telephone_number": "608-268-1700",
            "fax_number": "860-201-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIANSON",
        "first_name": "MORGAN",
        "middle_name": "K",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "11284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.