Individual provider Active NPI

Melissa Jill Sveen, D.D.S.

  • Pediatric Dentistry
  • Lincoln, NE
National Provider Identifier
1275523516
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
5241 Issued in NE
Practice address
7001 A Street
Suite 103
Lincoln, NE 68510-4205
Phone
(402) 434-3367
Fax
(402) 434-3368
NPI assigned
Oct 27, 2005
Last updated
Jan 26, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 5241 NE Primary

Addresses

Primary practice location

7001 A Street
Suite 103
Lincoln, NE 68510-4205

Mailing address

7001 A Street
Suite 103
Lincoln, NE 68510-4205
Phone (402) 434-3367

Other identifiers 1

IdentifierTypeStateIssuer
470695645-00MedicaidNE

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

LicenseStateTypeSpecialty
5241NEMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Stark and Johnson LLC Pediatric Dentistry PastSince Jan 21, 2022 Accepting new patients
Pediatric Dental Arts, P.C. Pediatric Dentistry Past Accepting new patients

Organizations & group practices 2

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1275523516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 A STREET",
            "address_2": "SUITE 103",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104205",
            "telephone_number": "402-434-3367",
            "fax_number": "402-434-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 A STREET",
            "address_2": "SUITE 103",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104205",
            "telephone_number": "402-434-3367",
            "fax_number": "402-434-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SVEEN",
        "first_name": "MELISSA",
        "middle_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NE",
            "license": "5241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470695645-00",
            "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 Jan 26, 2011; 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.