EDWARD A. CHRISTENSEN, D.D.S, P.C. (NPI# 1619168507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619168507 |
| Entity Type | Organization |
| Organization Name | EDWARD A. CHRISTENSEN, D.D.S, P.C. |
| Other Organization Name | FOOTHILLS PEDIATRIC DENTISTRY, P.C. |
| Practice Address |
916 S Main St #302 Longmont CO 80501-6671 |
| Mailing Address |
916 S. Main Street #302 Longmont CO 80501 |
| Practice Telephone | 3037029501 |
| Practice Fax Number | 3035322275 |
| Mailing Telephone | 3037029501 |
| Mailing Fax Number | 3035322275 |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2008-06-19 |
| Authorized Official Name | SHEILA LAIGLE (OFFICE MANAGER) |
| Authorized Official Telephone | 3036049500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
========= | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 06439063 | 05 |
| Other Name | Type Code |
|---|---|
| Foothills Pediatric Dentistry, P.C. | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720279193 | Edward A. Christensen, D.d.s, P.C. | Dentist | 1120 W South Boulder Rd, #204, Lafayette, CO 80026-8951 | 2007-08-09 |
| Street Address |
916 S MAIN ST #302 |
| City | LONGMONT |
| State | CO |
| Zip Code | 80501-6671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922019298 | Bradley Chadwick Wood | Dentist | 916 S Main St, Suite 303, Longmont, CO 80501-6671 | 2006-08-11 |
| 1245419753 | Jacqui G Slavin | Chiropractor | 916 S Main St, 205, Longmont, CO 80501-6671 | 2007-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376774 | Boulder County Public Health | Public Health or Welfare | 515 Coffman Street, Suite 200, Longmont, CO 80501 | 2020-08-12 |
| 1164032827 | Kidstuff Child and Family Counseling, P.C. | Marriage & Family Therapist | 360 15th Ave, Ste. 104, Longmont, CO 80501 | 2020-08-06 |
| 1861036501 | Stateserv Medical of Colorado | Durable Medical Equipment & Medical Supplies | 63 South Pratt Pkwy, Landmont, CO 80501 | 2019-11-06 |
| 1558915090 | Array Clinical and Therapeutic Services | Assistant Behavior Analyst | 451 21st Ave. Suite B, Longmont, CO 80501 | 2019-08-01 |
| 1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
| 1295298545 | Jovahna Pena | Counselor | Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 | 2019-04-12 |
| 1659845568 | University Physicians Incorporated | Advanced Practice Midwife | 2030 Mountain View Ave Ste 400, Longmont, CO 80501 | 2019-01-14 |
| 1013404714 | Crafted Physical Therapy Pllc | Physical Therapist | 701 Delaware Ave Unit E, Longmont, CO 80501 | 2018-04-18 |
| 1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
| 1225401771 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1242 S. Hover Street, Suite C200, Longmont, CO 80501 | 2015-11-05 |
| Find all providers in zip 80501 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881099935 | Nichols Pediatric Dentistry Pllc | Dentist | 2055 Ken Pratt Blvd, Unit B, Longmont, CO 80501-6554 | 2014-10-31 |
| 1508134040 | Tanya Karnavy | Dentist | 1818 Mountain View Ave, Longmont, CO 80501-3253 | 2011-12-13 |
| 1225109713 | Little Britches Pediatric Dentistry, PC | Dentist | 2030 Terry St, Suite B, Longmont, CO 80501-1894 | 2006-11-13 |
| 1619048105 | Richard Bruce Abrams | Dentist | 2030 Terry St Ste B, Suite B, Longmont, CO 80501-1889 | 2006-11-13 |
| 1144830282 | Ncdi Longmont Professional LLP | Dentist | 1818 Mountain View Ave, Longmont, CO 80501-3253 | 2020-08-04 |
| 1053768184 | Milot Pediatric Dentistry, LLC | Dentist | 2055 Ken Pratt Blvd, Unit B, Longmont, CO 80501-6554 | 2016-05-18 |
| 1013379858 | Michelle Ferraioli | Dentist | 1818 Mountain View Ave, Longmont, CO 80501-3253 | 2016-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578181103 | Stettler Kr Broadmoor Pllc | Dentist | 4515 Broadmoor Bluffs Dr, Colorado Springs, CO 80906-8647 | 2020-07-09 |
| 1043842453 | Highlands Pediatric Dentistry | Dentist | 3141 Irving St Unit 200, Denver, CO 80211-3654 | 2020-02-04 |
| 1174163711 | J Patrick Bowman Dmd Pllc | Dentist | 1280 S Pearl St, Denver, CO 80210-1538 | 2020-01-12 |
| 1487211124 | Rebecca Goldberg, Dds, Pllc | Dentist | 2975 Roslyn St Unit 160, Denver, CO 80238-3326 | 2019-05-28 |
| 1427521509 | Kids Mile High Thornton Pllc | Dentist | 7375 E. 128th Ave, Thornton, CO 80602 | 2019-01-10 |
| 1578060299 | Julia Rose Wiegand | Dentist | 2352 Meadows Blvd Ste 200, Castle Rock, CO 80109-8408 | 2018-04-09 |
| 1215432141 | Dan Duy Hoang | Dentist | 660 Southpointe Ct Ste 100, Colorado Springs, CO 80906-3806 | 2018-03-23 |
| 1053851485 | Allison Threlkeld Davis | Dentist | 404 E Mineral Ave Ste A, Littleton, CO 80122-2611 | 2017-03-04 |
| 1649624362 | Curley Peak Dentistry Pllc | Dentist | 1640 W Fortino Blvd, Pueblo, CO 81008 | 2016-04-19 |
| 1942673512 | A. P. Smithwick D.d.s. IIi Professional LLC | Dentist | 125 Inverness Dr E Ste 300, Englewood, CO 80112-5139 | 2015-11-04 |
| Find all providers with the same taxonomy | ||||
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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.