Healthcare Provider Details

I. General information

NPI: 1235048737
Provider Name (Legal Business Name): CHRISTOPHER DENVIS FIELDS RD, LD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVE
CINCINNATI OH
45229-3026
US

IV. Provider business mailing address

859 LAWN AVE
HAMILTON OH
45013-2675
US

V. Phone/Fax

Practice location:
  • Phone: 513-803-9159
  • Fax:
Mailing address:
  • Phone: 513-400-2038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberLD.7838
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: