Organization Active NPI

Rallis & Bonilla Orthodontics, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lincoln, NE
National Provider Identifier
1043918220
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
RALLIS & BONILLA ORTHODONTICS, LLC
Practice address
3256 Salt Creek Cir
Lincoln, NE 68504-4761
Phone
(402) 730-6838
NPI assigned
Feb 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Authorized official

Name
Paul Rallis, DDS
Title
Orthodontist
Phone
(402) 730-6838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

3256 Salt Creek Cir
Lincoln, NE 68504-4761

Mailing address

3256 Salt Creek Cir
Lincoln, NE 68504-4761

Other practice location 1

3811 Grainger Pkwy
Lincoln, NE 68516-5391
Phone (402) 730-6838

Other practice location 2

8328 Dawson Creek Bay
Lincoln, NE 68505-3614
Phone (402) 730-6838

National Provider Directory

National Provider Directory

Locations

3811 Grainger Pkwy
Lincoln, NE 68516
Phone (402) 730-6838

8328 Dawson Creek Bay
Lincoln, NE 68505
Phone (402) 730-6838

NPI Registry JSON

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1043918220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3256 SALT CREEK CIR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685044761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3256 SALT CREEK CIR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685044761",
            "telephone_number": "402-730-6838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3811 Grainger Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685165391",
            "country_code": "US",
            "telephone_number": "402-730-6838",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8328 Dawson Creek Bay",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685053614",
            "country_code": "US",
            "telephone_number": "402-730-6838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RALLIS & BONILLA ORTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "RALLIS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "402-730-6838",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 17, 2023; 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.