CHRISTENSEN, CHRISTENSEN & FREESEMAN, PC NPI 1003015991

Dentist (Orthodontics and Dentofacial Orthopedics) in Waterloo, IA

NPI 1003015991 Organization Dentist Orthodontics and Dentofacial Orthopedics

About CHRISTENSEN, CHRISTENSEN & FREESEMAN, PC

Christensen,christensen & Freeseman,pc is a provider established in Waterloo, Iowa specializing in dentist (orthodontics and dentofacial orthopedics) . The NPI number of Christensen,christensen & Freeseman,pc is 1003015991 and was assigned on July 2007. The practitioner's primary taxonomy code is 1223X0400X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Christensen,christensen & Freeseman,pc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Brandy Walker (Office Manager)

A dentist like Christensen,christensen & Freeseman,pc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

NPI

1003015991

Provider NameCHRISTENSEN,CHRISTENSEN & FREESEMAN,PC
Provider Location Address847 W 4TH ST WATERLOO, IA 50702
Provider Mailing Address847 W 4TH ST WATERLOO, IA 50702
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date07-12-2007
Last Update Date02-11-2013


Primary Taxonomy

Taxonomy Code1223X0400X
ClassificationDentist
TypeDental Providers
SpecializationOrthodontics and Dentofacial Orthopedics
License StateIA
Taxonomy DescriptionThat area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Business Address

CHRISTENSEN,CHRISTENSEN & FREESEMAN,PC
847 W 4TH ST
WATERLOO, IA
ZIP 50702
Phone: (319) 234-4486
Fax: (319) 232-4913

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Mailing Address

CHRISTENSEN,CHRISTENSEN & FREESEMAN,PC
847 W 4TH ST
WATERLOO, IA
ZIP 50702
Phone: (319) 234-4486
Fax: (319) 232-4913



Authorized Official

Authorized Official Name BRANDY WALKER
Authorized Official TitleOFFICE MANAGER
Authorized Official Phone(319) 234-4486

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0007948MEDICAID (05)IA
000971058OTHER (01)PA

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215923958MS. DENISE MAAS LMHC
Individual
Counselor (Mental Health)847 W 4TH ST
WATERLOO, IA 50702
(319) 226-3220
1558457606DR. ROGER A DAY DDS
Individual
Dentist (Pediatric Dentistry)847 W 4TH ST
WATERLOO, IA 50702
(319) 234-4486
1144394495DR. GREGORY PAUL CHRISTENSEN DDS MS
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)847 W 4TH ST
WATERLOO, IA 50702
(319) 234-4486
1073687323DR. MICHAEL PAUL FREESEMAN DDS MS
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)847 W 4TH ST
WATERLOO, IA 50702
(319) 234-4486
1093048282MR. JOHN R. CHURCH LMHC
Individual
Counselor (Mental Health)847 W 4TH ST
WATERLOO, IA 50702
(319) 215-8197

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.