NPI Code Detail JSON Logo

1336951292 NPI number — JORDAN S. CHRISTENSEN D.D.S. ORAL AND FACIAL SURGERY DENTAL GROUP INC

NPI Number: 1336951292
Health Care Provider/Practitioner: JORDAN S. CHRISTENSEN D.D.S. ORAL AND FACIAL SURGERY DENTAL GROUP INC

Information about “1336951292” NPI (JORDAN S. CHRISTENSEN D.D.S. ORAL AND FACIAL SURGERY DENTAL GROUP INC) exists in 1336951292 in HTML format HTML  |  1336951292 in plain Text format TXT  |  1336951292 in PDF (Portable Document Format) PDF  |  1336951292 in an XML format XML  formats.

NPI Number : 1336951292 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1336951292",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "JORDAN S. CHRISTENSEN D.D.S. ORAL AND FACIAL SURGERY DENTAL GROUP INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3965 PACKARD LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CARLSBAD",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92008-3651",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "801-865-1009",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3144 EL CAMINO REAL STE 101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CARLSBAD",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92008-2194",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "801-865-1009",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/27/2025",
    "LastUpdateDate": "01/27/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CHRISTENSEN",
    "AuthorizedOfficialFirstName": "JORDAN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DDS",
    "AuthorizedOfficialTelephoneNumber": "801-865-1009",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QS0112X",
        "TaxonomyName": "Oral and Maxillofacial Surgery Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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