NPIMap

Organization Active NPI

Coddington Dental

  • Dentist
  • Lincoln, NE
National Provider Identifier
1265776207
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6483 Issued in NE
Legal business name
CODDINGTON DENTAL
Practice address
1320 West a Street
Lincoln, NE 68522-1321
Phone
(402) 438-5555
Fax
(402) 438-0183
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Dr. Brad Alderman, D.D.S.
Title
Dentist
Phone
(402) 438-5555

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 6483 NE Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 6889 NE

Addresses

Primary practice location

1320 West a Street
Lincoln, NE 68522-1321

Mailing address

1320 West a Street
Lincoln, NE 68522-1321
Phone (402) 438-5555

Other identifiers 1

IdentifierTypeStateIssuer
10025116700MedicaidNE

National Provider Directory

National Provider Directory

Locations

1320 W A St
Lincoln, NE 68522
Phone (402) 438-5555

Practitioners & affiliated clinicians

Practitioners 3

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": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1265776207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 WEST A STREET",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685221321",
            "telephone_number": "402-438-5555",
            "fax_number": "402-438-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 WEST A STREET",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685221321",
            "telephone_number": "402-438-5555",
            "fax_number": "402-438-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CODDINGTON DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "ALDERMAN",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "402-438-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NE",
            "license": "6483",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NE",
            "license": "6889",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025116700",
            "state": "NE"
        }
    ],
    "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 Nov 15, 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.