Ponca Tribe of Nebraska

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PONCA TRIBE OF NEBRASKA

Practice address

1800 Syracuse Ave
Norfolk, NE 68701-2458

Phone

(402) 371-8834

Fax

(402) 371-7564

NPI assigned

Oct 22, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Donald Lee

Title

Chief Executive Officer

Phone

(402) 734-5275

Specialties & licenses 2

Addresses

Other names 1

• Ponca Hills Health & Wellness Center Other name

Locations

Practitioners 1

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

• Cameron Mathias Aitken, DDS

  • Public Health Dentistry
  • Norfolk, NE
  • NPI 1275100315
  NPD (past)

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1285987735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SYRACUSE AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012458",
            "telephone_number": "402-371-8834",
            "fax_number": "402-731-7564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SYRACUSE AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012458",
            "telephone_number": "402-371-8834",
            "fax_number": "402-371-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONCA TRIBE OF NEBRASKA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "402-734-5275",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ponca Hills Health & Wellness Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Viana Polanco
• Debra Polk
• James N Pollard Jr., PLMHP, PLADC
• Tiearra Pollard
• Ponca Tribe of Nebraska
• Ponca Tribe of Nebraska
• Chandra Kumar Ponniah, MBBS
• Alexis Pontine
• Gena Popken, DNP, APRN, FNP-C
• Jerry Porter

• Clinic/Center in Norfolk, NE
• Providers in Norfolk, NE by specialty
• Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.