NPIMap

Organization Active NPI

Milford Dental Clinic, PC

  • Dental Clinic/Center
  • Milford, NE
National Provider Identifier
1124207303
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6190 Issued in NE
Legal business name
MILFORD DENTAL CLINIC, PC
Practice address
112 B Street
Milford, NE 68405-0612
Phone
(402) 761-2351
Fax
(402) 761-3766
NPI assigned
Oct 24, 2007
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Jeffery D Spahr, DDSNPI 1316257694
Title
Owner/Dentist
Phone
(402) 761-2351

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 6193 NE
Dental Clinic/Center 261QD0000X 6190 NE Primary

Addresses

Primary practice location

112 B Street
Milford, NE 68405-0612

Mailing address

PO Box B
Milford, NE 68405-0612
Phone (402) 761-2351

Other identifiers 1

IdentifierTypeStateIssuer
10025610500MedicaidNE

National Provider Directory

National Provider Directory
Tax ID family
Fallbrook Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1124207303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX B",
            "city": "MILFORD",
            "state": "NE",
            "postal_code": "684050612",
            "telephone_number": "402-761-2351",
            "fax_number": "402-761-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 B STREET",
            "city": "MILFORD",
            "state": "NE",
            "postal_code": "684050612",
            "telephone_number": "402-761-2351",
            "fax_number": "402-761-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILFORD DENTAL CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "SPAHR",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "402-761-2351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NE",
            "license": "6193",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NE",
            "license": "6190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025610500",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.