NPIMap

Organization Active NPI

Anderson-Martin-Lacey-Antholz Dentists, PC

  • General Practice Dentistry
  • Lincoln, NE
National Provider Identifier
1093722118
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ANDERSON-MARTIN-LACEY-ANTHOLZ DENTISTS, PC
Practice address
3445 'O' Street
Lincoln, NE 68510-1541
Phone
(402) 474-3445
Fax
(402) 474-6061
NPI assigned
Aug 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Max M Martin Jr., DDSNPI 1346231990
Title
Owner/Secretary
Phone
(402) 474-3445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

3445 'O' Street
Lincoln, NE 68510-1541

Mailing address

3445 'O' Street
Lincoln, NE 68510-1541
Phone (402) 474-3445

National Provider Directory

National Provider Directory

Locations

3445 O St
Lincoln, NE 68510
Phone (402) 474-3445

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093722118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 'O' STREET",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101541",
            "telephone_number": "402-474-3445",
            "fax_number": "402-474-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 'O' STREET",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101541",
            "telephone_number": "402-474-3445",
            "fax_number": "402-474-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON-MARTIN-LACEY-ANTHOLZ DENTISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/SECRETARY",
        "authorized_official_telephone_number": "402-474-3445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "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 Aug 22, 2020; 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.