Organization Active NPI

Sean D. Pauley, DDS, PC

  • General Practice Dentistry
  • Lincoln, NE
National Provider Identifier
1144092685
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SEAN D. PAULEY, DDS, PC
Practice address
5930 S 58TH St Ste E
Lincoln, NE 68516-3653
Phone
(402) 423-9045
NPI assigned
Oct 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Authorized official

Name
Sean D Pauley, DDSNPI 1881116788
Title
Owner
Phone
(402) 540-6124

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5930 S 58TH St Ste E
Lincoln, NE 68516-3653

Mailing address

8926 Broken Spoke Dr
Lincoln, NE 68507-3403
Phone (402) 540-6124

Other names 1

  • Family Dental PC Doing business as

National Provider Directory

National Provider Directory

Locations

5930 S 58th St
Ste E
Lincoln, NE 68516
Phone (402) 423-9040

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1144092685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8926 BROKEN SPOKE DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685073403",
            "telephone_number": "402-540-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 S 58TH ST STE E",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163653",
            "telephone_number": "402-423-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN D. PAULEY, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-27",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "PAULEY",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-540-6124",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 27, 2023; 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.