NPIMap

Organization Active NPI

Plattsmouth Family Dentistry, P.C.

  • General Practice Dentistry
  • Bellevue, NE
National Provider Identifier
1285091678
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6313 Issued in NE
Legal business name
PLATTSMOUTH FAMILY DENTISTRY, P.C.
Practice address
2110 Towne Center Dr
Bellevue, NE 68123-6405
Phone
(402) 885-8990
NPI assigned
Jan 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Authorized official

Name
Jeff Dworak, DDS
Title
Owner
Phone
(402) 885-8990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6313 NE Primary

Addresses

Primary practice location

2110 Towne Center Dr
Bellevue, NE 68123-6405

Mailing address

2110 Towne Center Dr
Bellevue, NE 68123-6405
Phone (402) 885-8990

National Provider Directory

National Provider Directory

Locations

2110 Towne Centre Dr
Bellevue, NE 68123
Phone (402) 559-6000

NPI Registry JSON

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1285091678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 TOWNE CENTER DR",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681236405",
            "telephone_number": "402-885-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 TOWNE CENTER DR",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681236405",
            "telephone_number": "402-885-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATTSMOUTH FAMILY DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "DWORAK",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-885-8990",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.