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DR. CHRISTINE FORD D.D.S
NPI 1720174592
Dentist - Periodontics in Santa Rosa, CA

Active since October 05, 2006PECOS Enrolled
101 BROOKWOOD AVE, SUITE 203, SANTA ROSA, CA 95404(707) 568-7633(707) 568-7321 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Christine Ford D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHRISTINE FORD D.D.S (NPI 1720174592) is an individual periodontics provider in Santa Rosa, California, licensed in California (30102) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720174592
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameDR. CHRISTINE FORDCredential: D.D.S
Location Address101 BROOKWOOD AVE, SUITE 203Santa Rosa, CA 95404-5259
Mailing Address101 Brookwood Ave, Suite 203Santa Rosa, CA 95404-5259 · (707) 568-7633 · Fax (707) 568-7321
Phone(707) 568-7633
Fax(707) 568-7321
Sole ProprietorYes
Enumeration DateOctober 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1720174592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 30102
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
101 BROOKWOOD AVE, Santa Rosa, CA 95404
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Christine Ford D.d.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARCADIA HEALTH SERVICES, INC.
Home Health
101 BROOKWOOD AVE, SUITE 204
SANTA ROSA, CA 95404
Sonoma County (707) 541-3600
TRINA WINIFRED HIGGINS RD
Dietitian, Registered
101 BROOKWOOD AVE
SANTA ROSA, CA 95404
Sonoma County (707) 575-6043
ARIEL MUIRHEAD
Dietitian, Registered
101 BROOKWOOD AVE
SANTA ROSA, CA 95404
Sonoma County (707) 575-6043
DR. CYN THIA FERRERA PH.D.
Psychologist
101 BROOKWOOD AVE, STE 200
SANTA ROSA, CA 95404
Sonoma County (707) 525-9067
DR. TERRI HAMILTON-GAHART PH.D.
Psychologist
101 BROOKWOOD AVE, SUITE 200
SANTA ROSA, CA 95404
Sonoma County (707) 525-1958
CINDY MOGANNAM MPH, RD, CSP
Dietitian, Registered
101 BROOKWOOD AVE
SANTA ROSA, CA 95404
Sonoma County (707) 575-6043

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christine Ford's NPI number?

The NPI number for Christine Ford is 1720174592. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Christine Ford located?

Christine Ford practices at 101 Brookwood Ave Suite 203, Santa Rosa, CA 95404. The listed phone number is (707) 568-7633.

What is Christine Ford's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Christine Ford enrolled in Medicare?

Yes. Christine Ford is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Christine Ford was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.