NPIMap

Organization Active NPI

Regency Family Dental Care, P.C.

  • General Practice Dentistry
  • Norfolk, NE
National Provider Identifier
1114292810
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4457 Issued in NE
Legal business name
REGENCY FAMILY DENTAL CARE, P.C.
Practice address
110 W Benjamin Ave
Norfolk, NE 68701-2913
Phone
(402) 379-0468
Fax
(402) 644-8023
NPI assigned
Mar 13, 2012
Last updated
Mar 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
Dr. Daniel Joseph KarmazinNPI 1700960606
Title
Owner
Phone
(402) 379-0468

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 4457 NE Primary

Addresses

Primary practice location

110 W Benjamin Ave
Norfolk, NE 68701-2913

Mailing address

110 W Benjamin Ave
Norfolk, NE 68701-2913
Phone (402) 379-0468

National Provider Directory

National Provider Directory

Locations

110 W Benjamin Ave
Norfolk, NE 68701
Phone (402) 379-0468

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1114292810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W BENJAMIN AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012913",
            "telephone_number": "402-379-0468",
            "fax_number": "402-644-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W BENJAMIN AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012913",
            "telephone_number": "402-379-0468",
            "fax_number": "402-644-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY FAMILY DENTAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "KARMAZIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-379-0468",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "4457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.