Full Circle Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

FULL CIRCLE DENTAL

Doing business as

Ravenna Dental Clinic

Practice address

102 W Seneca St
Ravenna, NE 68869-1363

Phone

(308) 455-7069

NPI assigned

Aug 14, 2025

Last updated

Aug 14, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alivia Grace Focken, DDSNPI 1780253864

Title

Owner

Phone

(308) 440-1540

Specialties & licenses 1

Addresses

Other names 1

• Ravenna Dental Clinic Doing business as

Locations

Practitioners 1

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.

• Alivia Grace Focken, DDS

  • Dentist
  • Kearney, NE
  • NPI 1780253864
  NPD Authorized official

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1184500241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W SENECA ST",
            "city": "RAVENNA",
            "state": "NE",
            "postal_code": "688691363",
            "telephone_number": "308-455-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W SENECA ST",
            "city": "RAVENNA",
            "state": "NE",
            "postal_code": "688691363",
            "telephone_number": "308-455-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "FOCKEN",
        "authorized_official_first_name": "ALIVIA",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-440-1540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ravenna Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela Sue Dethlefs
• Family Physical Therapy & Sports Center
• Karalee Fiddelke, REGISTERED NURSE
• Misti D Fiddelke, MPT
• First Care Medical, PC
• Green Wave Counseling and Wellness
• Nancy J Hagan
• Richard Hagan
• Scott Hagan
• Robert Guy Haworth

• Dental Clinic/Center in Ravenna, NE
• Providers in Ravenna, NE by specialty
• Dental Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.