Justin Shirk DDS LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JUSTIN SHIRK DDS LLC

Doing business as

Pioneer Greens Dentistry

Practice address

4444 S 86TH St Ste 101
Lincoln, NE 68526-9253

Phone

(785) 871-0692

NPI assigned

Jan 24, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Justin Shirk, DDSNPI 1144773698

Title

Owner

Phone

(785) 871-0692

Specialties & licenses 1

Addresses

Other names 1

• Pioneer Greens Dentistry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin Shirk, DDS

  • Dentist
  • Lincoln, NE
  • NPI 1144773698
  NPD Authorized official

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1285340380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 E PINE GROVE CT",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670373950",
            "telephone_number": "785-871-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 S 86TH ST STE 101",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269253",
            "telephone_number": "785-871-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN SHIRK DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "SHIRK",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-871-0692",
        "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": "Pioneer Greens Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raquel Jurjens
• Stacie Sue Jurrens, PHARMD
• Cynthia K Jussel, MSW, PLMHP
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• Anitha Jwalanaiah
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• Shannon Jo Kaarstad
• Callie Rae Kacvinsky
• Blake Shareene Kadavy

• Dental Clinic/Center in Lincoln, NE
• Providers in Lincoln, 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 Jan 24, 2023; 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.