NPIMap

Organization Active NPI

Harris Obermiller LLC

Doing business as Gentle Dental Care

  • General Practice Dentistry
  • Grand Island, NE
National Provider Identifier
1023387743
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HARRIS OBERMILLER LLC
Doing business as
Gentle Dental Care
Practice address
1003 W 3Rd St
Grand Island, NE 68801-5831
Phone
(308) 382-0110
Fax
(308) 382-8504
NPI assigned
Dec 27, 2011
Last updated
Dec 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Authorized official

Name
Katie Jo Kuck
Title
Practice Manager
Phone
(308) 382-0110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1003 W 3Rd St
Grand Island, NE 68801-5831

Mailing address

1003 W 3Rd St
Grand Island, NE 68801-5831
Phone (308) 382-0110

Other names 1

  • Gentle Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

1003 W 3rd St
Grand Island, NE 68801
Phone (308) 382-0110

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1023387743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 W 3RD ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688015831",
            "telephone_number": "308-382-0110",
            "fax_number": "308-382-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 W 3RD ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688015831",
            "telephone_number": "308-382-0110",
            "fax_number": "308-382-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS OBERMILLER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-27",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "KUCK",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "308-382-0110"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentle Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.