Active NPI
Simply Smiles Dentistry of Columbus LLC
- Dentist
- Columbus, NE
National Provider Identifier
1013715531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- SIMPLY SMILES DENTISTRY OF COLUMBUS LLC
- Practice address
- 2526 17TH St
Columbus, NE 68601-4349 - Phone
- (402) 564-4408
- Fax
- (402) 564-4409
- NPI assigned
- Mar 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rebecca Ann Ronkar-Hissong, DDS
- Title
- Dentist/Owner
- Phone
- (402) 564-4408
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
2526 17TH St
Columbus, NE 68601-4349
Mailing address
2526 17TH St
Columbus, NE 68601-4349
Phone (402) 564-4408
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 183135803 | Medicaid | NE | |
| 1063515500 | Medicaid | NE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Columbus, NE
- NPI 1831358563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740960000000",
"number": "1013715531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2526 17TH ST",
"city": "COLUMBUS",
"state": "NE",
"postal_code": "686014349",
"telephone_number": "402-564-4408",
"fax_number": "402-564-4409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2526 17TH ST",
"city": "COLUMBUS",
"state": "NE",
"postal_code": "686014349",
"telephone_number": "402-564-4408",
"fax_number": "402-564-4409"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIMPLY SMILES DENTISTRY OF COLUMBUS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-03",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A",
"authorized_official_last_name": "RONKAR-HISSONG",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "402-564-4408",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "183135803",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1063515500",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.