NPIMap

Organization Active NPI

Paul E Bacino DDS PC

  • Dentist
  • Bennington, NE
National Provider Identifier
1144431776
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4986 Issued in NE
Legal business name
PAUL E BACINO DDS PC
Practice address
132 S Stark St
Bennington, NE 68007
Phone
(402) 238-2434
Fax
(402) 238-3230
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Authorized official

Name
Dr. Paul E Bacino, DDS PCNPI 1023170628
Title
President
Phone
(402) 238-2434

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 4986 NE Primary

Addresses

Primary practice location

132 S Stark St
Bennington, NE 68007

Mailing address

PO Box 166
Bennington, NE 68007-0166
Phone (402) 238-2434

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1144431776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 166",
            "city": "BENNINGTON",
            "state": "NE",
            "postal_code": "680070166",
            "telephone_number": "402-238-2434",
            "fax_number": "402-238-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 S STARK ST",
            "city": "BENNINGTON",
            "state": "NE",
            "postal_code": "68007",
            "telephone_number": "402-238-2434",
            "fax_number": "402-238-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL E BACINO DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "BACINO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-238-2434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS PC"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NE",
            "license": "4986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bennington, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.