Individual provider Active NPI

Nathan Roger Luehrs, D.D.S.

  • Dentist
  • Gering, NE
National Provider Identifier
1053489765
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6628 Issued in NE
Practice address
3350 10TH St
Gering, NE 69341-1724
Phone
(308) 632-2279
Fax
(308) 632-2752
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6628 NE Primary

Addresses

Primary practice location

3350 10TH St
Gering, NE 69341-1724

Mailing address

1605 Gentry Blvd
Gering, NE 69341-1959
Phone (308) 632-2279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6628NEMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053489765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 GENTRY BLVD",
            "city": "GERING",
            "state": "NE",
            "postal_code": "693411959",
            "telephone_number": "308-632-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 10TH ST",
            "city": "GERING",
            "state": "NE",
            "postal_code": "693411724",
            "telephone_number": "308-632-2279",
            "fax_number": "308-632-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUEHRS",
        "first_name": "NATHAN",
        "middle_name": "ROGER",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "6628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gering, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.