Active NPI
Heather Ann Juenemann, RDH
- Dental Hygienist
- McCook, NE
National Provider Identifier
1164043436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 2613
- Practice address
- 2009 W J St
MC Cook, NE 69001-3090 - Phone
- (308) 345-2273
- NPI assigned
- Apr 28, 2020
- Last updated
- Feb 2, 2021
- 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 | 2613 | NE | Primary |
Addresses
Primary practice location
2009 W J St
MC Cook, NE 69001-3090
Mailing address
2009 W J St
MC Cook, NE 69001-3090
Phone (308) 345-2273
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2613 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaitlin Haag DDS PC | Current | Accepting new patients |
Locations
2009 W J St
McCook, NE 69001
Phone (308) 345-2273
411 W 5th St
McCook, NE 69001
Phone (308) 345-1510
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612224000000",
"number": "1164043436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2009 W J ST",
"city": "MC COOK",
"state": "NE",
"postal_code": "690013090",
"telephone_number": "308-345-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2009 W J ST",
"city": "MC COOK",
"state": "NE",
"postal_code": "690013090",
"telephone_number": "308-345-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUENEMANN",
"first_name": "HEATHER",
"middle_name": "ANN",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-28",
"last_updated": "2021-02-02",
"certification_date": "2021-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NE",
"license": "2613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McCook, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.