Active NPI
Rallis & Bonilla Orthodontics, LLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lincoln, NE
National Provider Identifier
1043918220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 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 DirectoryLocations
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.