NPIMap

Organization Active NPI

Stark and Johnson LLC

  • Pediatric Dentistry
  • Lincoln, NE
National Provider Identifier
1013219633
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
STARK AND JOHNSON LLC
Practice address
3272 Salt Creek Cir
Suite a
Lincoln, NE 68504-4759
Phone
(402) 476-1500
Fax
(402) 476-1510
NPI assigned
Dec 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jenni K Wall
Title
Insurance and Billing Manager
Phone
(402) 476-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

3272 Salt Creek Cir
Suite a
Lincoln, NE 68504-4759

Mailing address

3272 Salt Creek Cir
Suite a
Lincoln, NE 68504-4759
Phone (402) 476-1500

Other names 1

  • Lincoln Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Stark and Johnson LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3272 Salt Creek Cir
Ste A
Lincoln, NE 68504
Phone (402) 476-1500

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1013219633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3272 SALT CREEK CIR",
            "address_2": "SUITE A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685044759",
            "telephone_number": "402-476-1500",
            "fax_number": "402-476-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3272 SALT CREEK CIR",
            "address_2": "SUITE A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685044759",
            "telephone_number": "402-476-1500",
            "fax_number": "402-476-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARK AND JOHNSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "JENNI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "INSURANCE AND BILLING MANAGER",
        "authorized_official_telephone_number": "402-476-1500"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.