Active NPI
Leah Genene Sunderman, RDH
- Dental Hygienist
- Wisner, NE
National Provider Identifier
1114432606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 135
- Practice address
- PO Box 779
Wisner, NE 68791-0779 - Phone
- (402) 529-2233
- NPI assigned
- Dec 6, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 135 | NE | Primary |
Addresses
Primary practice location
PO Box 779
Wisner, NE 68791-0779
Mailing address
PO Box 131
Hoskins, NE 68740-0131
Phone (402) 318-9818
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elkhorn Logan Valley Public Health Department | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Public Health or Welfare Agency
- Wisner, NE
- NPI 1548532542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512518400000",
"number": "1114432606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 131",
"city": "HOSKINS",
"state": "NE",
"postal_code": "687400131",
"telephone_number": "402-318-9818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 779",
"city": "WISNER",
"state": "NE",
"postal_code": "687910779",
"telephone_number": "402-529-2233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNDERMAN",
"first_name": "LEAH",
"middle_name": "GENENE",
"name_prefix": "Ms.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-06",
"last_updated": "2017-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NE",
"license": "135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wisner, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.