NPIMap

Organization Active NPI

Dundee Family Dental

  • Dental Clinic/Center
  • Omaha, NE
National Provider Identifier
1023068673
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
4357 Issued in NE
Legal business name
DUNDEE FAMILY DENTAL
Practice address
2067 N 120TH St
Omaha, NE 68164-3401
Phone
(402) 492-8626
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Sarah C Armstrong, CDA
Title
Office Manager
Phone
(402) 492-8626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 4357 NE Primary

Addresses

Primary practice location

2067 N 120TH St
Omaha, NE 68164-3401

Mailing address

2067 N 120TH St
Omaha, NE 68164-3401
Phone (402) 492-8626

Other identifiers 1

IdentifierTypeStateIssuer
10025308900MedicaidNE

Other names 1

  • West Blondo Family Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dundee Family Dental3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2067 N 120th St
Omaha, NE 68164
Phone (402) 492-8626

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023068673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2067 N 120TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643401",
            "telephone_number": "402-492-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2067 N 120TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643401",
            "telephone_number": "402-492-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNDEE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "402-492-8626",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CDA"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NE",
            "license": "4357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025308900",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Blondo Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.