Minden Dental Clinic, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6257 Issued in NE

Legal business name

MINDEN DENTAL CLINIC, LLC

Practice address

110 E Hawthorne St
Minden, NE 68959-1971

Phone

(308) 832-2582

Fax

(308) 832-1120

NPI assigned

Mar 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Lee Birkestrand

Title

Doctor/Dentist

Phone

(308) 832-2582

Specialties & licenses 1

Addresses

Other names 1

• Christopher L Birkestrand, DDS LLC Former legal business name

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1134495849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E HAWTHORNE ST",
            "city": "MINDEN",
            "state": "NE",
            "postal_code": "689591971",
            "telephone_number": "308-832-2582",
            "fax_number": "308-832-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E HAWTHORNE ST",
            "city": "MINDEN",
            "state": "NE",
            "postal_code": "689591971",
            "telephone_number": "308-832-2582",
            "fax_number": "308-832-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDEN DENTAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "BIRKESTRAND",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DOCTOR/DENTIST",
        "authorized_official_telephone_number": "308-832-2582",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christopher L Birkestrand, DDS LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• McCann-Carpenter Dental, L.L.C.
• Marse McCann-Carpenter, D.D.S.
• Samantha Jo McCartney, RPH
• Sean James McFadden, OTD, OTR/L
• Mariah Miller, PT, DPT, LAT, ATC
• Minden Family Practice Clinic
• Minden Family Practice Clinic Inc
• Minden Public Schools
• Katlyn Patricia Morrow
• Ross A Oberg, DPT, ATC

• All providers in Minden, NE
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.