BRIAN A. CHRISTOPHERSON DDS, PLLC (NPI# 1336347624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336347624 |
| Entity Type | Organization |
| Organization Name | BRIAN A. CHRISTOPHERSON DDS, PLLC |
| Other Organization Name | ADVANCED ENDODONTICS |
| Practice Address |
2017 E Adobe St Mesa AZ 85213-6740 |
| Practice Telephone | 4807331778 |
| Practice Fax Number | 4807331657 |
| Mailing Telephone | 4807331778 |
| Mailing Fax Number | 4807331657 |
| Enumeration Date | 2007-07-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BRIAN ALLEN CHRISTOPHERSON (MANAGING MEMBER) |
| Authorized Official Telephone | 4807331778 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
D6355 | AZ | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Advanced Endodontics | Doing Business As Name - Organization |
| Street Address |
2017 E ADOBE ST |
| City | MESA |
| State | AZ |
| Zip Code | 85213-6740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659462372 | Mesa Dental Group LLC | Dentist | 2017 E Adobe St, Suite 6, Mesa, AZ 85213-6740 | 2006-09-27 |
| 1851830301 | Beech Medical Group, Inc. | Case Management | 2017 E Adobe St, Mesa, AZ 85213-6740 | 2017-02-16 |
| 1821448572 | Beech Health Support LLC | In Home Supportive Care | 2017 E Adobe St, Mesa, AZ 85213-6740 | 2016-06-14 |
| 1376999243 | Jayme Ambrose | Registered Nurse | 2017 E Adobe St, Mesa, AZ 85213-6740 | 2016-05-10 |
| 1346678935 | Adobe Care and Wellness LLC | Case Management | 2017 E Adobe St, Mesa, AZ 85213-6740 | 2013-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861041733 | Belinda Wiens | Counselor | 2135 E University Dr., Suite 116, Mesa, AZ 85213 | 2019-09-04 |
| 1679099402 | Roxanne Nicole Greene | Physical Therapist | 2642 E Fairfield St, Mesa, AZ 85213 | 2017-08-14 |
| 1861921405 | Cameron Kastl | Dentist | 820 E University Dr, Mesa, AZ 85213 | 2017-06-07 |
| 1033667860 | Ricardo Helaman Perez | Dentist | 459 North Val Vista Drive, Mesa, AZ 85213 | 2016-09-21 |
| 1902221039 | The U-turn Foundation | Psychiatric Residential Treatment Facility | 2941 E Contessa St., Mesa, AZ 85213 | 2014-02-26 |
| 1720354194 | Roberta Lynn Ray | Registered Nurse | 824 N Gentry St., Mesa, AZ 85213 | 2012-03-29 |
| 1639483647 | William Lawrence Hull IIi | Dentist | 2855 E Brown Rd Ste 5, Mesa, AZ 85213 | 2010-08-02 |
| 1619299286 | Arizona Internal Medicine Associates LLC | Internal Medicine | 3435 E. Kael St, Mesa, AZ 85213 | 2010-02-23 |
| 1568691863 | Kathleen Ann Ruffin | Dental Hygienist | 2855 E. Brown Rd, Suite 15, Mesa, AZ 85213 | 2009-07-08 |
| 1356584890 | Sw Sports Medicine & Orthopedic Surgery | Orthopaedic Surgery | 2835 E. Brown Rd., Ste. 101, Mesa, AZ 85213 | 2009-04-14 |
| Find all providers in zip 85213 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396354205 | Freedom Dental, Pllc | Clinic/Center | 6328 E Brown Rd Ste 105, Mesa, AZ 85205-4841 | 2020-07-27 |
| 1972061364 | Dr Lorin Eric Jackrel, Dmd, PC | Clinic/Center | 2150 S Dobson Rd Ste 2, Mesa, AZ 85202-6487 | 2019-03-05 |
| 1366906190 | Bella Via Dental, Pllc | Clinic/Center | 4425 S Mountain Rd Ste 106, Mesa, AZ 85212-7132 | 2019-01-25 |
| 1497271068 | Mesa Dental Pllc | Clinic/Center | 1423 S Higley Rd Ste 101, Mesa, AZ 85206-3449 | 2017-08-16 |
| 1851815575 | Crismon Road Dmso LLC | Clinic/Center | 1157 S Crismon Rd Ste 103, Mesa, AZ 85208-2661 | 2017-08-03 |
| 1386847218 | Arizona Dental Health, Inc. | Clinic/Center | 2500 S. Power Rd. Ste. 105, Mesa, AZ 85209 | 2007-06-07 |
| 1821607342 | Central Valley Dental Care LLC | Clinic/Center | 5440 E Southern Ave Ste 107, Mesa, AZ 85206-2779 | 2020-07-30 |
| 1497379564 | Denver J. Palmer, D.m.d., P.C. | Clinic/Center | 6852 E Brown Rd, Mesa, AZ 85207-3706 | 2020-06-03 |
| 1386278679 | Advanced Dental Prosthetics | Clinic/Center | 107 N Greenfield Rd Ste 1, Mesa, AZ 85205-7802 | 2020-02-26 |
| 1447898481 | Ge Dental Pllc | Clinic/Center | 944 N Gilbert Rd Ste 104, Mesa, AZ 85203-5836 | 2019-12-19 |
| Find all providers in MESA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.