Active NPI
Marina Titov, RDH
- Dental Hygienist
- Lincoln, NE
National Provider Identifier
1255892147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 2291
- Practice address
- 4200 Lucile Dr Ste 100
Lincoln, NE 68506-6032 - Phone
- (402) 483-7631
- NPI assigned
- Mar 25, 2019
- 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 | 2291 | NE | Primary |
Addresses
Primary practice location
4200 Lucile Dr Ste 100
Lincoln, NE 68506-6032
Mailing address
11066 W Haines Cir
Denton, NE 68339-9608
Phone (402) 613-2154
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 |
|---|---|---|---|
| 2291 | NE | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553472000000",
"number": "1255892147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11066 W HAINES CIR",
"city": "DENTON",
"state": "NE",
"postal_code": "683399608",
"telephone_number": "402-613-2154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 LUCILE DR STE 100",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685066032",
"telephone_number": "402-483-7631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TITOV",
"first_name": "MARINA",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-25",
"last_updated": "2019-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NE",
"license": "2291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.