Your Family Dentist P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

YOUR FAMILY DENTIST P.C.

Practice address

10274 S 71St St
Papillion, NE 68133-2659

Phone

(402) 339-2501

Fax

(402) 339-2503

NPI assigned

Aug 8, 2023

Last updated

Aug 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heather Jessen

Title

Office Manager

Phone

(402) 339-2501

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Addison Blair Jeppesen, DDS, MS

  • Dentist
  • Papillion, NE
  • NPI 1477201697
  NPD
• Micah Todd Jeppesen, DDS

  • General Practice Dentistry
  • Papillion, NE
  • NPI 1023179959
  NPD (past)

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1053094177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10274 S 71ST ST",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "681332659",
            "telephone_number": "402-339-2501",
            "fax_number": "402-339-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10274 S 71ST ST",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "681332659",
            "telephone_number": "402-339-2501",
            "fax_number": "402-339-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR FAMILY DENTIST P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "JESSEN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "402-339-2501"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lexi Marie Yagodinski
• Melissa Ellen Yost
• Wayne Youmans
• Andrea Marie Young, LIMHP
• Holli A Younker-Schifferns, LIMHP
• Benison Yumul
• Bryson Yumul
• Ruby Yumul
• Natalie Zamora
• Emily Zea

• General Practice Dentistry in Papillion, NE
• Providers in Papillion, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.