Fremont Children'S Dentistry, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

FREMONT CHILDREN'S DENTISTRY, LLC

Practice address

1947 E Military Ave
Fremont, NE 68025-5467

Phone

(402) 727-8700

Fax

(402) 727-8705

NPI assigned

Feb 23, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Vincent Rothe, D.D.S

Title

Owner

Phone

(402) 727-8700

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1083987911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1947 E MILITARY AVE",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680255467",
            "telephone_number": "402-727-8700",
            "fax_number": "402-727-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1947 E MILITARY AVE",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680255467",
            "telephone_number": "402-727-8700",
            "fax_number": "402-727-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT CHILDREN'S DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "ROTHE",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-727-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025787600",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fremont Audiology and Hearing Clinic
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• Fremont Children'S Academy, Inc.
• Fremont Chiropractic Clinic PC
• Fremont Dental Group PC
• Fremont Family Counseling, LLC
• Fremont Health
• Fremont Health

• Pediatric Dentistry in Fremont, NE
• Providers in Fremont, NE by specialty
• Pediatric Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.