Stephanie Svoboda, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

7097 Issued in NE

Practice address

136 E 4TH St
Superior, NE 68978-1730

Phone

(402) 879-3133

NPI assigned

Jun 10, 2013

Last updated

Jan 20, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1023456399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30180 ROAD D",
            "city": "GLENVIL",
            "state": "NE",
            "postal_code": "689412747",
            "telephone_number": "402-760-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 E 4TH ST",
            "city": "SUPERIOR",
            "state": "NE",
            "postal_code": "689781730",
            "telephone_number": "402-879-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SVOBODA",
        "first_name": "STEPHANIE",
        "name_prefix": "Ms.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "7097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jett Stenson, M.S., CCC-SLP
• Rebekka Stephens
• Superior Pharmacy, Inc.
• Superior Physical Therapy LLC
• Superior Vision PC
• Teachworth Chiropractic LLC
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Superior)
• The Evangelical Lutheran Good Samaritan Society (Victorian Legacy)
• The Mary Lanning Memorial Hospital Association (Mary Lanning Hospice)
• Julie A Theis, M.D.

• Dentist in Superior, NE
• Providers in Superior, NE by specialty
• Dentist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.